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CRUZ CLINIC and INTEGRATIVE PSYCHOLOGY CONSENT TO SERVICES Patient:___Date of Birth:___(Please initial to verify understanding) ___ I acknowledge that I have received Cruz Clinics pamphlet, Important
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01
Schedule an appointment with Cruz Clinic Integrative Psychology.
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Complete any required intake forms provided by the clinic.
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Be honest and open during your sessions with the psychologist.
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Follow any treatment plans or recommendations provided by the psychologist.
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Attend all scheduled appointments and actively participate in therapy sessions.

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Individuals experiencing mental health challenges such as anxiety, depression, trauma, or stress.
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People seeking a holistic approach to mental health care that combines traditional therapy with complementary practices.
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Those interested in improving their emotional well-being and increasing self-awareness through therapy.
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Cruz Clinic Integrative Psychology is a mental health clinic that offers a holistic approach to therapy by combining traditional therapy with alternative modalities.
Cruz Clinic Integrative Psychology is required to be filed by mental health professionals working at the clinic.
Cruz Clinic Integrative Psychology form can be filled out by providing information about the clinic's services, therapy modalities used, patient demographics, and treatment plans.
The purpose of Cruz Clinic Integrative Psychology is to provide a comprehensive assessment and treatment plan for patients seeking mental health services.
Information such as patient demographics, diagnosis, treatment plan, therapy modalities used, and progress notes must be reported on Cruz Clinic Integrative Psychology form.
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