LYNETTE INGRAM CASSEL, LMHC, ATR-BC ART THERAPIST & MENTAL HEALTH COUNSELOR
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  • About
    • About Lynette
    • Location
  • Services
    • Therapy
    • Consultation
    • Adoption Support
    • Parenting Support
    • Art Therapy Supervision
    • Fees & Insurance
    • Forms
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Forms

To allow for more time during our session, please print and fill out these forms in advance and bring them to your first appointment. If you have any questions, feel free to contact me at ingramcasselcounseling@gmail.com.

*New Client Information Form

*Information and Consent to Treatment
*Insurance Information Form
*Privacy Practices (HIPPA) Consent Form
Notice of Privacy Practices (HIPAA) - just read, no need to print!
Release of Information Form - Complete as needed to give permission to contact another provider. 




*required forms to begin sessions
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  • Home
  • About
    • About Lynette
    • Location
  • Services
    • Therapy
    • Consultation
    • Adoption Support
    • Parenting Support
    • Art Therapy Supervision
    • Fees & Insurance
    • Forms
  • Resources
  • Contact