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Paul Rougher, LCSW (LC 300557) & LCSW (13575) & Certified Imago Therapist1050 17th St. NW Suite 1000 Washington, DC 20036; (202) 6413981, rougher aol.com, www.pruffer.comInitial Intake Form (Individuals
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How to fill out pauls initial intake form
How to fill out pauls initial intake form
01
Start by visiting Paul's website and navigating to the intake form page.
02
Provide your personal information such as your name, address, and contact details.
03
Answer the questions related to your medical history, including any current medications or allergies.
04
Fill out the sections regarding your reason for seeking Paul's services and any specific concerns or goals you may have.
05
Review all the information you have provided to ensure its accuracy.
06
Submit the form electronically, or print and send it via mail or fax, as per the instructions provided.
07
Await a response from Paul or his team regarding the next steps or any additional information required.
Who needs pauls initial intake form?
01
Anyone seeking Paul's services or consultation should fill out Paul's initial intake form. Whether you are a new patient, returning patient, or simply require an initial evaluation, the intake form helps gather essential information for Paul to better understand your needs and provide appropriate recommendations and guidance.
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