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Brenda parkinson calgary 2025

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The document is a client intake form and policy statement for Brenda Parkinson, a registered psychologist and marital and family therapist in Calgary, AB. It includes sections for client information, emergency contact details, confidentiality policies, payment terms, and appointment cancellation policies. The document emphasizes the importance of confidentiality with specific exceptions and outlines the financial responsibilities of clients regarding therapy sessions.

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Click ‘Get Form’ to open the brenda parkinson calgary document in the editor.
Begin by entering today’s date at the top of the form. Indicate if you are a new client by selecting 'Yes' or 'No'.
Fill in your personal information, including first name, middle name, last name, mailing address, city, province, home phone number, work phone number, email address (optional), postal code, cell phone number, birthdate, and age.
Provide details on how you heard about Brenda Parkinson and select your sex and relationship status.
If applicable, complete the Responsible Party Information section with similar details for the responsible party.
Enter your family physician's information if known and indicate whether you authorize contact with them regarding your treatment.
Complete the Emergency Contact Information section with the contact person's details.
Review the Policy Statement carefully. Sign and date where indicated to confirm your understanding and agreement.

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