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The Psychology Clinic at Queens Referral FormDEPARTMENT OF PSYCHOLOGY Queen's University Kingston, Ontario, Canada K7L 3N6 Tel 613 5336021 Fax 613 5333282Client Information: Name: ___ Gender:___ Address:
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Gather all necessary information such as personal details, medical history, and reason for seeking therapy.
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Individuals who are seeking therapy or counseling services from a psychology clinic would need to fill out the form.
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Form psychology clinic is a document used for reporting information related to psychology clinics.
Psychology clinics are required to file form psychology clinic.
Form psychology clinic can be filled out by providing all the required information accurately.
The purpose of form psychology clinic is to gather information about psychology clinics for regulatory purposes.
Information such as clinic name, address, services offered, number of patients treated, etc. must be reported on form psychology clinic.
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