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The Woolf Center New Client Form
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First and Last Name
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Email
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Phone Number
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State of Residence (Example: Maryland)
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Are you looking for Teens, Individuals, or Couples Therapy?
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Teens
Individual
Couples
Family
Coaching
Other (EMDR, OCD, Maternal MH, Trauma)
What is your presenting concern?
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I understand The Woolf Center does not participate with insurance companies, they are an out of network self-pay service provider. The Woolf Center can provide a superbill (receipt) for possible out-of-network reimbursement benefits.
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