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Forms

I invite you to download and fill out the forms before your appointment to save time. I can also set the forms in the waiting room for you to come in early and sign before your appointment. Also, I am happy to go over the forms in the appointment before you sign anything.

Informed Consent
and Electronics
Communication Policy

8 pages

Adult Client Information

1 page

Minor Client Information

2 page

Health Psychology Intake

3 pages

Telepsychology Consent

3 pages

Phone: 765-204-5854

1330 Win Hentschel Blvd, Ste 234
West Lafayette IN 47906

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©2025 by Dawn S Dilley, PhD HSPP

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