Live a Life by Design LCSW, PLLC

Live a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLC
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  • About Staci
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    • Home
    • About Staci
    • Services
    • Testimonials
    • Forms/Telehealth Login
    • Recommended Readings
    • Contact

Live a Life by Design LCSW, PLLC

Live a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLC
  • Home
  • About Staci
  • Services
  • Testimonials
  • Forms/Telehealth Login
  • Recommended Readings
  • Contact

Intake Forms

Please download forms and email to Staci.livelifedesign@gmail.com


***PLEASE CHOOSE & DOWNLOAD ONLY ONE FROM THE SELECTION BELOW ***


(You do not need to do both attachments; choose the one that is relevant to you)




 

Use these intake forms ONLY if you have Montefiore Healthfirst (pdf)Download
Use these Intake Forms if you are through a CCA contract, LYRA, or private pay (pdf)Download

Telehealth Virtual Waiting Room

https://doxy.me/stacitherapist

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