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Wolff Child Psychology
The forms on this page should only be completed at the direction of a Wolff Child Psychology team member. Please do not complete them prior to contacting us. Thank you.

General Forms

1. WCP - Child and Family Intake Packet
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2. WCP - Notice of Privacy Practices (HIPAA)

3. WCP - Covid-19 In-Person Services Consent Form

4. WCP - Covid-19 In-Person Services Consent Form Addendum

5. WCP - Informed Consent for Telepsychology

6. WCP - Authorization to Release Information and Records

7. WCP - Fee Information Form - Therapy

Clinician Consent Forms
8. WCP Informed Consent - Brian Wolff, Ph.D.

9. WCP Informed Consent - Elizabeth Bruno, Ph.D.

10. WCP Informed Consent - Nicole Eberle, Ph.D.

11. WCP Informed Consent - Kathy Culhane-Shelburne, Ph.D.

12. WCP Informed Consent - Jessica Torres, Ph.D.

13. WCP Informed Consent - Danielle Mohr, Ph.D.

14. WCP Informed Consent - Nikki Pond, Psy.D.
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