If you're a new client, please download, print and complete the following Intake Form and bring it to your first therapy session with your insurance card or information..
If you would like to see and download my credentials you may select the following link:
- Robert Shope Creden/userfiles/1130585/file/Therapysites Robert Shope Intake Form 03242018.doctials
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form /userfiles/1130585/file/Therapysites 03242018 RobertShope Release of Information Form.doc
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