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Ellen H. Theodore's, LCSW, LLC 153B Park Row Brunswick, ME 04011 207 2455087Authorization for Release/Request of Confidential Information/PHI I, hereby authorize Ellen H. Theodore's, LCSW, LLC to
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Start by gathering all necessary information and documents such as personal identification, insurance details, and any relevant medical or mental health history.
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Visit the Bridgetree Counseling & Consultation office or website to access the necessary forms or online registration.
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Fill out the forms accurately and completely, providing all requested information and ensuring all fields are properly filled.
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Bridgetree counseling ampamp consultation is a service that offers counseling and consultation services to individuals and organizations.
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