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Please review all 4 forms. Only the first 3 need to be signed and the signature areas are highlighted in yellow. You may save and email them (tracybaileylcsw@yahoo.com) or fax to 661-438-0372. They may also be hand delivered or signed in the office if the first session is in person.

Cancellation
Policy-Please Sign

Consent For Treatment-Please sign

Acknowledgement of Privacy Practices Notice-Please sign

Privacy Practices Notice-For reading only

Office

25201 Avenue Tibbitts,

Ste 201

Valencia, CA 91355

661-714-9488

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CONTACT

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