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Robert Romano, Therapist Connecticut

 

FORMS

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You can download and print the following forms and fill them out prior to our first meeting.  Feel free to e-mail the completed forms back to me, or bring them to our first session.

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Please click any of the links below to download and print these forms:

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CLIENT INTAKE

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CONSENT TO TREAT

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NOTICE OF PRIVACY PRACTICES

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RECEIPT OF PRIVACY PRACTICES

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RELEASE OF INFORMATION

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EMDR CONSENT FORM

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INVENTORY OF PREFERENCES

 

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Please call or e-mail me with any questions you might have.  I try to return all inquiries within 24 to 36 hours.

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30 Old Kings Highway S
Darien, CT 06820
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191 Post Road W
Westport, CT 06880

 

Robert Romano

                   LCSW, LLC

           Psychotherapist

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Tel: 203.654.9094

LCSW@robromano.com

Robert Romano, Therapist Connecticut
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