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Gina Unger
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Home
About Us
Ingrid Burke
Gina Unger
Services
Before Your Visit
Contact Us
Questions
Testimonials
Individual / Couples Forms
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A0_Telemental Health Informed Consent
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A1_Revised ClientRegistration 3-22
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A2_New_Client_Information
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A3_Service_Agreement-Informed_Consent
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A4_Client_Rights_and_Responsibilities 031122
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A5_Notice_of_Privacy_Practices 031122
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A6_Receipt_and_Acknowledgement_of_Notices Final 031122
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A7_BiopsychosocialHistory Revised 031622
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A8_Request_for_Exchange_of_Information Revised 031622
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A9_COVID19_In-Person_Informed_Consent_Form final 031122
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A10_Final Social Media Policy 11.7.22
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A11_Surprise Billing Protection Form copy
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Your Rights and Protections Against Surprise Medical Bills
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