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(770) 296-4842 | karen@karenalpharettatherapy.com

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Karen Tantillo

Contact

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Information Form

Statement of Services/Notice of Privacy Practices

Consent to Treatment Form

Video Tape Consent

Telemental Health Form

Credit Card Statement

 

5755 North Point Parkway Suite 249
Alpharetta, GA 30022

(770) 296-4842
karen@karenalpharettatherapy.com

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