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Beth Elder Psy.D., LCSW

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Forms

PDFNew Patient Information

Additional Forms (Please only complete if requested by Dr. Elder):

PDF Informed Consent for a Third Party to Assume Financial Responsibility for Treatment

PDF Consent to Release Information

PDF EMDR Consent Form

CA Lic# LCS22898
18600 Main St., Ste. 295
Huntington Beach, CA 92648
beth@bethelderlcsw.com
Phone: (949) 743-1775

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