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If you are an existing client seeking Telehealth sessions with your provider, please complete the below form.


If you are a new client, please complete the below form, as well as the following two forms: "Demographics & Identifying Information" and "Consent to Use Health Care Information".  You may access each in the Telehealth dropdown above or through the below links. Please reach out to your Counseling and Trauma Therapy Associates provider should you need help.


Thank you!