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Select the issue you would like to work with (all that apply)
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If your first choice is not available, would you consider working with another therapist?
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How did you hear about us?
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Email Risk Acknowledgement and Use Consent
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I understand that the use of email and SMS text messages are inherently insecure and thus poses a risk to the security and confidentiality of my protected health information and I consent to Embrace Clinical Services and Consulting therapists and/or office staff communicating with me via email or text message
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