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DrCharlesMartin.com

Speaking + Training + Therapy

 

 

 

 

 

 

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Client Therapy Forms

Coming soon....

  • New Client Information - This form will be given to you during our first session. It is informational only and for your records.
  • Adult Intake Form - Provides me with basic information regarding past medical history, relationships, employment, and presenting concerns. Please print this out and complete prior to our first or second session. Feel free to omit any questions that you are uncomfortable with or would rather discuss in person.
  • Insurance Information Form - If you will using insurance, this form must be completed prior to your first session and sent to my office to assist with billing your insurance company. You can mail, email, fax, or deliver this form in person.

 

 

 

 

 

 

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