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Jill Squares, Ph.D. Licensed Psychologist PO Box 2125 Eagle, CO 81631 970.306.6986 (pH) 866.512.0078 (fax) Teletherapy Informed Consent Form I hereby consent to engage in teletherapy/coaching with
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Jill Squyres PhD is licensed to practice psychology.
Anyone who is practicing psychology under the name of Jill Squyres PhD is required to file the necessary licensing documentation.
To fill out the licensing for Jill Squyres PhD, one must provide all relevant personal and professional information as required by the licensing authority.
The purpose of Jill Squyres PhD being licensed is to ensure that she meets the necessary qualifications and standards to practice psychology professionally.
The licensing documentation for Jill Squyres PhD must include her qualifications, professional background, and any other information required by the licensing authority.
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