Download and complete forms before your first appointment. 
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​Send completed forms to  info@gentle-shepherd.com

 


      Adult
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     Health Insurance Claim   OR   Self-Pay Application

     Policies and Procedures
    
     Telehealth Consent 

      Adult History Form



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      *Marriage Consent Form

      * Authorization to Release 


                                                                                                                             
   

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Child/Adolescent

​Health Insurance Claim   OR  ​ Self-Pay Application

Policies and Procedures

Telehealth Consent 

Child and Adolescent History Form



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*Teen checklist  (14yr -17 yrs)


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