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Dr. Beth Hollander
Licensed Psychologist
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Forms

Please complete the intake form before coming in for your first session. If you like Dr. Hollander to be in contact with anyone about your treatment, please also complete the authorization to disclose protected health information.

Intake Form

Authorization to Disclose Protected Health Information

HIPAA Notice of Privacy Practices

If your child will be seeing Dr. Hollander, please also complete the child intake form.

Child Intake Form

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