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I consent for Dr. Danielle DeSantis Asssociates to offer me behavioral health services as described to me and accept the nature and limits of services available. Dr. DeSantis and I have discussed limitations to my confidentiality rights. I understand that I may revoke this consent at any time and in any case that this consent expires post date one year. Danielle DeSantis Associates to release information to my insurance company necessary to process claims. Danielle DeSantis for services...
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