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Intake Process and Forms

We are looking forward to working with you and your family. Please read through the following policies so you can better understand our therapy process. There is a place to initial at the end of each section. Please indicate your agreement and understanding to abide by these policies by initialing where indicated. Please feel free to reach out with any questions to (402) 413-1356.

Included in this agreement are:

1. Financial Agreement
2. Cancellation Policy
3. Consent to Receive and Release Medical Information
4. Waiver of Liability
5. Clinic Expectations