Samantha Garfinkel, MS, LMFT

Samantha Garfinkel, MS, LMFTSamantha Garfinkel, MS, LMFTSamantha Garfinkel, MS, LMFT
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Samantha Garfinkel, MS, LMFT

Samantha Garfinkel, MS, LMFTSamantha Garfinkel, MS, LMFTSamantha Garfinkel, MS, LMFT
  • Home
  • About
  • Rates/Insurance
  • Forms
  • Contact Us

Forms

Please print, review and sign the following forms. 

Please bring them with you for initial session.

Informed Consent (pdf)

Download

Limits to Confidentality (pdf)

Download

Professional Disclosure Statement 2021 (pdf)

Download

ROI (pdf)

Download

Personal Information Form (pdf)

Download

Notice of Privacy Practices (pdf)

Download

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