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Forms

These are the most common forms used in my practice. For new clients, please review:

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  • New Client Form 

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  • HIPAA Information Form

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  • HIPAA signature form

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  • Consent to Treatment/Financial Agreement form

 

 

 

 

  • Release of Information form

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Contact Me

For any questions you have, you can reach me here:

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Lori A. Sirs, DSW, LICSW

4313 6th Ave SE Suite C

Indigo Therapy Space
Lacey, WA  98503

 

208.250.5133

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To schedule an online appointment (teletherapy) in a HIPAA-compliant platform, please call me at (208) 250-5133. For those who prefer a face-to-face appointment, I offer in person appointments in my Lacey office on Mondays. 

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