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Lisa Knudson Psychotherapy Intake FormName: ___ (Last) (First) (Middle Initial) Name of parent/guardian (if you are a minor): ___ (Last) (First) (Middle Initial) Birth Date: ___ /___ /___ Age: ___
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The term 'if I am using' is unclear and may refer to a specific context or type of form. Please provide additional details for a precise answer.
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The required information often includes personal details, income data, deductions, and credits relevant to the specific form.
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