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-Introduction Form-
HIPAA
Compliance
1
What's your first name?
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2
Okay {firstName}, and what's your last name?
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3
Thanks {firstName}. What's your email address?
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4
... and what's your phone number?
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5
What led you to therapy {firstName}?
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6
Are you open to sessions via:
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Telehealth
In-Person
Both
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Please Select
Telehealth
In-Person
Both
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