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    1702 North Collins Blvd., Suite 207
    Richardson, TX 75080
    carolparklpc@hushmail.com
    469-324-9744

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    Helpful Forms

    If you are a new client of Carol Park’s, please be sure to fill out the following forms before your first session. Then bring the filled out documents to your first appointment to ease your transition into therapy with her. This will also allow as much time as possible to be spent focusing on you.

    • Client Information
    • Limits of Confidentiality Form
    • Consent To Treatment Form
    • Financial Responsibility and Cancellation Policy
    • HIPAA Authorization Form
    Carol Park, LPC-S, RD, LD, CEDRD

    1702 North Collins Blvd.
    Suite 207
    Richardson, TX 75080


    Phone:469-324-9744
    Fax: 972-591-2943

    carolparklpc@hushmail.com

  • 1702 North Collins Blvd., Suite 207   |   Richardson, TX 75080   |   469-324-9744

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