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One Lincoln Center   
8401 N. Central Expressway, Suite 335   
Dallas, TX 75225   

StephanieSwales@gmail.com   
(469)426-4632   
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Patient Forms

Click the form names below to download in .pdf format:

Telepsychology Consent Form

Adult Intake Form
Adult Services Agreement

Child Intake Form
Child Services Agreement

Authorization to Release Protected Health Information

Patient Right to a Good Faith Estimate
Services | Treatment Approach | Credentials | Publications & Presentations | Supervision | FAQ | Patient Forms | Location
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