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Laurie Appeal, PSD
1534 Kings Highway
Swedenborg, NJ 08085
8564676800
NJ License #3727
AUTHORIZATION AND REQUEST FOR THERAPY RECORDS
(HIPAA COMPLIANT FORM)
PATIENT NAME:
ADDRESS:D.O.B:
TELEPHONE:I
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What is laurie appel psyd?
Laurie Appel PsyD refers to a Doctor of Psychology named Laurie Appel.
Who is required to file laurie appel psyd?
Those who have received services or treatment from Laurie Appel PsyD may be required to file relevant documentation.
How to fill out laurie appel psyd?
To fill out Laurie Appel PsyD, individuals may need to provide personal information, treatment details, and any other relevant data requested by Dr. Appel.
What is the purpose of laurie appel psyd?
The purpose of Laurie Appel PsyD may vary, but generally involves documenting psychological evaluations, therapy sessions, or other mental health services provided by Dr. Appel.
What information must be reported on laurie appel psyd?
Information reported on Laurie Appel PsyD may include patient demographics, treatment plans, therapeutic interventions, progress notes, and other relevant details.
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