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NEW CLIENT INFORMATION Clients Name SS# - wpapc

NEW CLIENT INFORMATION Clients Name SS# - wpapc 2025

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The document is a comprehensive new client information form for Woodbridge Psychological Associates, P.C., detailing the procedures for patient intake, financial responsibilities, consent for treatment and disclosure of health information, and privacy practices in accordance with HIPAA regulations. It includes sections for personal details, insurance information, consent to treatment, and ongoing credit card authorization.

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