DUSTIN SMITH, LCSW
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FORMS

If you are a new client, please print and complete the below Informed Consent and Intake documents and bring them with you to your first session.

Client Intake

Client Intake Form
File Size: 343 kb
File Type: pdf
Download File

Release of Information

RELEASE OF INFORMATION
File Size: 33 kb
File Type: pdf
Download File

Consent for Treatment

Consent for Treatment
File Size: 484 kb
File Type: pdf
Download File

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  • Home
  • About Me
  • Services
  • Contact Info
  • FORMS/RESOURCES