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Ruth Ann Wright, Ph.D.
Therapy for Individuals, Couples, & Families
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Helpful Forms

If you're a new client, please complete the following three forms and bring them to your first therapy session.

If you would like me to bill your insurance carrier, complete this form and bring it to your first therapy session.

I may ask you to complete this form after our first session

If I am seeing your child I may ask you and/or you child to fill out the following forms.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
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