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New Client Intake Forms

Before your first session, please print, fill out and send these forms to the address below:

c/o Elisabeth Brown

Fairport Office Park

1387 Fairport Rd

Building 600, Ste.610

Fairport, NY 14450

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Emailing these forms is not HPPA Compliant at this time.

This is not an intake form, it is only necessary to fill it out if instructed to:

  • linkedin

(585)678-1618

Fairport Office Park

Fairport Rd. Bldg 600 Ste 610

Fairport, NY 14450, USA

©2018 by Elisabeth R. Brown MA. Proudly created with Wix.com

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