· 19.05.2020  · belinda leventhal, l.c.s.w. jan lewis, l.c.s.w. informed consent for in-person...

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Page 1:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 2:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 3:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 4:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 5:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 6:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 7:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 8:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 9:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 10:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 11:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 12:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information
Page 13:  · 19.05.2020  · Belinda Leventhal, L.C.S.W. Jan Lewis, L.C.S.W. INFORMED CONSENT FOR IN-PERSON SERVICES DURING COVID-19 PUBLIC HEALTH CRISIS This document contains important information