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Forms for Your Visit
In the interests of saving you time, we ask that you download our new client forms and fill them out prior to your first visit.
- Click on each form requested
- Print the form out
- Fill the form or forms out completely
- Call our office for any clarifications you may need
- Bring the forms with you when you visit Dr. Bergin Family Counseling Services
Assignment of Benefits
Authorization
Hippa / Client Authorization of Privacy Rights
Confidentiality Statement
Guidelines and Policies
Informed Consent
New Client Form
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