Sweeney Dawley Recovery Center, LLC.

Mental Health Medication Management

Sweeney Dawley Recovery Center, LLC.

Mental Health Medication Management

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Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session:
New Patient Form, Notice of Privacy Practices Acknowledgment Form

New Patient Form

Notice of Privacy Practices Acknowledgment Form

Read our Notice of Privacy here ➜

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:
Authorization for the Release and/or Discussion of Protected Health Information

Protected Health Information