7910 Woodmont Ave, Suite 745, Bethesda, MD 20814
(301) 742-6862
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Child Intake Form
Adult Intake Form
Authorization for Release of Clinical Record Form
Outpatient Services Agreement Form
Permission to Use Credit Card Form
Telehealth Via Video Conferencing Agreement Form
Agreement on the Use of Email for Patient Communications Form ​
Important Information:
Notice of Privacy Policies (HIPAA COMPLIANCE)