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To access records or to give me authorization to speak with another mental health professional, please download and print the Release of Information. You may also simply provide the relevant information required on the form. Be sure to include your signature and date of your request, and the persons or institutions that you wish me to communicate with. Once completed, return it to me via fax at 831-457-8540. Thanks

Authorization to Release Information

 

 

 

 

 

 

 

 

 

 

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