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Forms and Paperwork
Prior to our first meeting please print and complete the applicable forms below. Each new client will need either a child or adult intake questionnaire depending upon their age and then also a new client intake packet. Please bring these completed forms along with your insurance card and also a form of identification to your first session. Should you have any questions and/or concerns please do not hesitate to contact me. I look forward to meeting you!
Child/Adolescent 
Intake Questionnaire
Adult Intake Questionnaire
New Client Intake Packet

To schedule an appointment  P: (804) 464-7202  or  Email: scottmateslcsw@gmail.com

© 2017 by Scott W.Mates, LCSW, RPT

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