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McGuire Therapeutic Services

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Client forms

If you are new, please feel free to fill out these intake forms before our first session. They can also be completed during your first visit. If you’d like to coordinate your care with another provider, use the release of information form.

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Request for Outpatient Mental Health ServicesNew therapy, psychiatric assessment or medication management clients. Secure, encrypted online form.Open secure form PRP Referral FormFor licensed clinicians referring a client to our Psychiatric Rehabilitation Program. Secure online form.Open secure form Authorization for Release of InformationLets us coordinate your care with another provider, such as your doctor or psychiatrist.Download PDF Sliding Fee ScaleReduced fees based on household size and income.Download PDF Sliding Fee ApplicationApply for a reduced fee.Download PDF Notice of Privacy PracticesHow we protect and use your health information.Download PDF

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Questions about paperwork? We’re happy to help.

Call, email or request an appointment online. We’ll listen, answer your questions, and match you with the right clinician or program.

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