Cheri Tarutani, LCSW
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  • Home
  • About Me
  • Services
  • SCOPES
  • Forms
  • Payment & Insurance
  • Contact
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YOUR CART

Please complete the following forms and bring to your first appointment

Client Services Agreement.pdf
File Size: 133 kb
File Type: pdf
Download File

Intake Form.pdf
File Size: 231 kb
File Type: pdf
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acknowledgment.pdf
File Size: 147 kb
File Type: pdf
Download File

telehealth_informed_consent_form.pdf
File Size: 63 kb
File Type: pdf
Download File


Please read our privacy notice

privacy_notice.pdf
File Size: 91 kb
File Type: pdf
Download File

HIPAA Release.pdf
File Size: 20 kb
File Type: pdf
Download File

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