{"id":109,"date":"2015-12-01T20:04:14","date_gmt":"2015-12-02T01:04:14","guid":{"rendered":"https:\/\/millenia.us\/en\/?page_id=109"},"modified":"2022-02-21T07:57:03","modified_gmt":"2022-02-21T12:57:03","slug":"helpful-forms","status":"publish","type":"page","link":"https:\/\/millenia.us\/en\/helpful-forms\/","title":{"rendered":"Helpful Forms"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/millenia.us\/wp-content\/uploads\/2015\/10\/success-1024x672.jpg\" alt=\"success\" width=\"1024\" height=\"672\" class=\"aligncenter wp-image-6 size-large\" srcset=\"https:\/\/millenia.us\/wp-content\/uploads\/2015\/10\/success-1024x672.jpg 1024w, https:\/\/millenia.us\/wp-content\/uploads\/2015\/10\/success-300x197.jpg 300w, https:\/\/millenia.us\/wp-content\/uploads\/2015\/10\/success.jpg 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<ul>\n<li><strong>D<\/strong><strong>octeur Thierry Jacquemin<\/strong>:\u00a0<a href=\"http:\/\/drthierryjacquemin.com\/\" target=\"_blank\" rel=\"noopener\">http:\/\/drthierryjacquemin.com\/<\/a><\/li>\n<\/ul>\n<p>If you&#8217;re a new client, please complete the following forms and bring them to your first therapy session.<\/p>\n<p><a href=\"https:\/\/www.milleniacounselingandconsulting.com\/storage\/app\/media\/clientintake.pdf\" target=\"_blank\" rel=\"noopener\">Client Intake Form<\/a><\/p>\n<p>If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:<\/p>\n<p><a href=\"https:\/\/www.milleniacounselingandconsulting.com\/storage\/app\/media\/confidentialityandcancellationpolicy.pdf\" target=\"_blank\" rel=\"noopener\">Confidentiality and cancellation policy <\/a><\/p>\n<p><a href=\"https:\/\/www.milleniacounselingandconsulting.com\/storage\/app\/media\/authorization.pdf\" target=\"_blank\" rel=\"noopener\">AUthorization to disclose information<\/a><\/p>\n<p>Note : To download Adobe Acrobat Reader for free, click <a href=\"https:\/\/get.adobe.com\/reader\/\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Docteur Thierry Jacquemin:\u00a0http:\/\/drthierryjacquemin.com\/ If you&#8217;re a new client, please complete the following forms and bring them to your first therapy session. Client Intake Form If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information: Confidentiality and cancellation [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-109","1":"page","2":"type-page","3":"status-publish","5":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Helpful Forms - Nathalie Donny, LMHC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/millenia.us\/en\/helpful-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Helpful Forms - Nathalie Donny, LMHC\" \/>\n<meta property=\"og:description\" content=\"Docteur Thierry Jacquemin:\u00a0http:\/\/drthierryjacquemin.com\/ If you&#8217;re a new client, please complete the following forms and bring them to your first therapy session. 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