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    9000 Sheridan St. Pembroke Pines, FL 33024
    therapywithliza@gmail.com | (201) 951-5373

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    Client Forms

    If you are new to Therapy with Liza, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.

    Client Intake

    Client Contact Information Sheet

    Limits of Confidentiality

    If you need to have your sessions collaborated with another advisor, fill out the next form, and we can discuss having the arrangements made.

    Authorization for Release of Information

     

     

    Therapy with Liza

    Liza Piekarsky, LMHC, CAP, NCC

    9000 Sheridan Street
    Pembroke Pines, FL 33024

    (201) 951-5373
    therapywithliza@gmail.com

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    Therapy with Liza
    therapywithliza@gmail.com | (201) 951-5373
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