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 Child Psychology Marin

Dr. Julie Maccarin, Ph.D., OT/L

(415) 785-3700

Parent Consultation Forms

If you have scheduled a parent consultation session,  please print the Intake Information and Informed Consent for Treatment below.  Complete the forms and bring them to your first meeting. The HIPAA document is yours to keep.​

Child Psychology Marin

Intake Information

This includes basic information about your child or children and your family.

Informed Consent for Parent Consultation

This includes basic contact information, payment information, etc.

Health Insurance Portability and Accountability Act

 (HIPAA)   This describes how information about you

and/or your child  may be used and disclosed

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