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Rosanna Reyes Feet, MFT (619) 717-2970 Licensed Marriage …

WEBGeneral consent for treatment (if a client is a minor) “On the client’s behalf, I (legal guardian, legal representative) authorize Rosanna Reyes Feet, MFT to deliver mental

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URL: https://therapycalifornia.com/wp-content/uploads/2019/02/Intake-Forms-SD_rev.pdf

TELEHEALTH INFORMED CONSENT FORM

WEBRosanna Reyes Feet LMFT 44002 1761 Hotel Circle S. Ste 300 San Diego CA 92108 (619) 717-2970 1 _____ TELEHEALTH INFORMED CONSENT FORM

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