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Forms

If you are a new client, please download and complete these documents.  Please email these forms along with a copy of the front of your driver's license and the front and back of your insurance card to my secure and encrypted email address: elizabethhpilson@proton.me.   

New Client Contract

Data Intake

Privacy Notice

Consent for Teletherapy

Privacy Acknowledgement

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Contact Me

For any questions you have, you can reach me here:

Elizabeth H. Pilson, LCSW-C

Om Symbol on the Beach

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