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Couples Coaching Intake Form - Barbara Baumgardner 2025

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The document is an intake form for couple's coaching provided by Dr. Barbara Baumgardner, a licensed clinical psychologist and family psychiatric nurse practitioner at Arizona TherapyWorks. It collects comprehensive information about the patients' personal details, mental health history, current medications, family dynamics, and relationship status to facilitate effective therapy. The form also includes sections on consent for treatment, HIPAA policies, limits of confidentiality, and cancellation policies.

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