Spauldingpsychological.com

Spaulding Psychological Services, Pllc

WEBSpaulding Psychological Services, Pllc is a private practice mental health facility offering the highest quality psychological outpatient care.

Actived: 9 days ago

URL: https://www.spauldingpsychological.com/index.html?view=full

Notice of Privacy Practices for Protected Health Information

WEB1 spaulding psychological services, pllc 216 west north street 1809 dupont road suite 3 harrisville, wv. 26362 parkersburg, wv. 26104

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SPAULDING PSYCHOLOGICAL SERVICES, PLLC (SPS)

WEBWestbrook Health Services- 800-579-5844 United Summit Center-800-786-680. When you call these emergency numbers tell them that you are a client of Spaulding Psychological …

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Informed Consent for Psychological Evaluation

WEBPage 1 of 2 Consent For Psychological Evaluation SPAULDING PSYCHOLOGICAL SERVICES, PLLC (SPS) 216 West North Street 1809 Dupont Road Suite 3

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Date: Patient Name: DOB:

WEBspaulding psychological services, pllc 216 west north street 1809 dupont road suite 3 harrisville, wv. 26362 parkersburg, wv. 26101

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Spaulding Psychological Services, PLLC (SPS)

WEBContact Information and Permission: I authorize: (Please indicate YES or NO for each option) YES NO Leave a message on my home answering machine/voicemail

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SPAULDING PSYCHOLOGICAL SERVICES, PLLC (SPS)

WEBInformed Consent for Psychological Evaluation of a Minor Page 2 of 2 Release: The psychologist is not providing treatment or therapy and does not have a patient-doctor …

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Notice of Privacy Practices for Protected Health Information

WEBspaulding psychological services, pllc. 216 west north street 1809 dupont road suite 3. harrisville, wv. 26362 parkersburg, wv. 26104. phone: 304-643-5399. phone: 304-861-5184

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spauldingpsychological.com

WEBThe above-named practice may use my health care information and may disclose such information to the above-named insurance company(ies) and their agents for obtaining …

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PSYCHOSOCIAL HISTORY

WEBCHILD INFORMATION FORM. Date: _____Patient Name: _____DOB:_____ CURRENT PROBLEMS. Please describe your child’s current difficulties and reason for seeking …

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Date: Patient Name: DOB:

WEBspaulding psychological services, pllc 216 west north street 1809 dupont road suite 3 harrisville, wv. 26362 parkersburg, wv. 26101

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