Approaching Authenticity, PLLC

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Regina A. BlackWolf, MSW

If you are coming in-person, please print and complete the below forms and bring to your first appointment.
Please bring your insurance card to the first appointment.
If you would rather complete the forms at my office, be sure to arrive 15 minutes early for your first appointment.
If we are meeting by telehealth, I will send you a link to securely fill out my intake forms online.

disclosure-npp-telehealth.pdf
File Size: 171 kb
File Type: pdf
Download File

intake_and_signature_pages.pdf
File Size: 150 kb
File Type: pdf
Download File

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