Laya F. Seghi
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Client Forms

HomeClient Forms

Client Forms

Note to New Clients

Client Information

Consent For Treatment

BodyTalk Well-Being Form (short)

Wellness Check Questionnaire

Wellness_questionnaire

HIPAA Forms

HIPAA Consent

Release of Information Authorization

Notice of Privacy Practices(brief)

Notice of Privacy Practices(long)


Laya F. Seghi

Now offering virtual sessions!
Tel: 786-457-0505

laya@layaseghi.com

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