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PRIVACY & PRACTICE POLICIES / FAQ's
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If you would like to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.

Return by email to beth@hedva.com
(please write CONFIDENTIAL in the subject line);
OR FAX to 403- 247-2545.
 
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