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Elicia M.Seay, Ph.D., LLC

Licensed Clinical Psychologist

Forms

Please complete the following forms for Individual Therapy:

Client Registration Form

Informed Consent for Therapy

Notice of Privacy Practices

Consent & Payment Agreement

For Couples Therapy please complete the forms below:

Client Registration Form

Notice of Privacy Practices

Informed Consent for Couples Therapy

Couples Therapy Consent & Payment Agreement