New Client PacketPlease contact me via phone to schedule a meeting and receive a new client packet.
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Telehealth Consent FormPlease download, fill out and email this completed document prior to your first session beginning.
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Release of Information FormComplete and return this form to give consent to communication with other individuals.
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Consent to Treat as a Minor FormComplete and return this form if you are a minor consenting to your own treatment.
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HIPPA NoticeThis document is a notice of privacy practices for therapy.
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Good Faith Estimate NoticeThis document is a notice of client's rights to a good faith estimate of fees.
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Park Marina Center For Wellbeing
353 Park Marina Dr, Redding, CA 96001 |
Sean Niko Kuyper, M.A., is a Registered Associate Marriage and Family Therapist (AMFT 121577), under the employment and supervision of DaLene Forester, PhD, LMFT, LPCC (LMFT33095, LPCC629).
Niko sees clients in a private practice setting located in Redding, CA. © 2020 Sean Niko Kuyper M.A. All Rights Reserved
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