(970) 818-9332 ext. 2
fax (877)226-2395
Andrew R. Tidrick, LCSW
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Paperwork-English
Picture
Working Relationship Agreement, private
File Size: 14 kb
File Type: docx
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Adult Intake Form, word
File Size: 33 kb
File Type: rtf
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HIPPA notice, word
File Size: 53 kb
File Type: doc
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HIPPA receipt acknowledgement form, word
File Size: 17 kb
File Type: docx
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Adult Intake Form, pdf
File Size: 46 kb
File Type: pdf
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HIPPA notice, pdf
File Size: 32 kb
File Type: pdf
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HIPPA receipt acknowledgement form, pdf
File Size: 26 kb
File Type: pdf
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Copyright Andrew Tidrick, LCSW 2015