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BOULDER WELLNESS PSYCHOLOGY, LLC ADOLESCENT INTAKE FORM PARENT VERSION Please fill out this form about your child/teen as completely as possible. The information will help me in our work together,
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Step 1: Start by obtaining the necessary forms and paperwork from Boulder Wellness Psychology PLLC. These can usually be found on their website or requested at their office.
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Step 2: Begin by providing your personal information, such as your full name, address, contact information, and date of birth. This is usually done on the first page of the form.
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Step 3: Proceed to fill out any required medical history or background information. This may include details about your previous mental health treatments, current medications, and any relevant medical conditions.
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Step 4: Fill out the sections pertaining to your specific reason for seeking therapy or psychological services. Be as detailed and honest as possible to ensure the professionals at Boulder Wellness Psychology PLLC can provide you with appropriate care.
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Step 5: Review the completed form for accuracy and completeness. Make sure you haven't missed any sections or made any errors.
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Step 6: If applicable, sign and date the form to certify that the information provided is true and accurate.
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Step 7: Submit the filled-out form to Boulder Wellness Psychology PLLC either through their online portal, via mail, or in person at their office.
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Step 8: If required, make any necessary payments as instructed by Boulder Wellness Psychology PLLC to complete the registration process.
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Step 9: Wait for confirmation from Boulder Wellness Psychology PLLC regarding your enrollment and any further instructions.

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Boulder Wellness Psychology PLLC is a professional limited liability company that offers mental health services in Boulder, Colorado.
The owners and operators of Boulder Wellness Psychology PLLC are required to file the necessary paperwork with the state.
To fill out the necessary paperwork for Boulder Wellness Psychology PLLC, owners must provide information about the business structure, services offered, and any additional licensing required.
The purpose of Boulder Wellness Psychology PLLC is to provide mental health services to individuals in the Boulder area.
Information such as business structure, services offered, licensing, and ownership details must be reported on Boulder Wellness Psychology PLLC.
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