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    Desiree Murray, LCSW, CAC III

    Forms

    If you have scheduled an appointment with Desiree, please complete the Online Pre-Registration.
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    Pre-registration Form

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    Disclosure Statement

    HIPAA Form

    Consent To Communicate PHI Electronically

    Credit Card Authorization

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    If you would like for me to have contact with a third party regarding your treatment please print and complete this release of information form.

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    Release of Information Form

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    Additional forms

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    EMDR Consent Form

    Permission To Video

    © 2021 Canyon Pines Counseling

    19563 E. Mainstreet, Ste. 200 Parker, CO 80138

    Tel: 720-441-3537

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