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Files to Share: Kids
Files to Share: Adults

Informed Consent with Signature Page to print out


Informed Consent

Signature Page
SIGNATURE PAGE: Please print out and sign. Indicate if using insurance, along with insurance information, as well.This indicates that you have read the Informed Consent.
Mail Signature Page to: Holly Shaw2629 Redwing Road, Suite 305, Fort Collins, CO  80526, or bring to first session.