Elicia M.Seay, Ph.D., LLC - Forms
 Elicia M.Seay, Ph.D., LLC - Licensed Clinical Psychologist
Forms
Please complete the following forms for Individual Therapy:
 
Client Registration Form
         
 
 



Informed Consent for Therapy
  
 
 





Notice of Privacy Practices
CCF02052013_0001.pdf (PDF — 180 KB)
 
 
 

Consent & Payment Agreement
 




For Couples Therapy please complete the forms below:
 
Client Registration Form
CCF02042013_0000.pdf (PDF — 60 KB)
 
 
 

Notice of Privacy Practices
CCF02052013_0001.pdf (PDF — 180 KB)
 
 
 

Informed Consent for Couples Therapy
CCF02052013_0003.pdf (PDF — 59 KB)
 
 

 
Couples Therapy Consent & Payment Agreement








 
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