(215) 545-3700
karynfeit.lcsw@gmail.com
Positive Change for Teens and Families, LLC
Karyn E. Feit, MSW, LCSW
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FORMS to bring to first appointment:
Release of Information (ROI)
_ROI-F.pdf
Privacy Policy
privacypolicyPCTF-F.pdf
Insurance Information
InsuranceinfoPCTF-F.pdf
Youth Intake Form
Parent/Gaurdian
Form
Adult Intake
Adult Client Intake Form F.pdf
Logoteen-YAclientintakefinal (1).pdf
logoParent-guardianintakePCTF-F (1).pdf
Electronics
Communi
cations Policy
HIPPA Form
HIPPA PCTF- F (1).pdf
ElectroniccompolicyPCTF-F.pdf
Billing & Payment Policy
Billing and Payment Policy2020.pdf
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