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Welcome. This page is designed to provide new clients with the 6 forms needed for your first
visit to my office. The forms provided are 1) Client Information Form; 2) Symptom Checklist; 3) Issue Identification &
Treatment Objectives Form; 4) Confidentiality Form; 5) Washington Notice Form; and 6) Policy Form. Download buttons
are provided below for each of these 6 forms. Page links are also provided to the above left for 1) office address
and directions; 2) viewing forms; 3) a satisfaction survey for current or former clients; and, 4) my Vita (Resume').
If you have any questions, feel welcome to call or email me. My office hours are noon to 9pm
Mon-Thu and noon to 5pm on Friday. The best time to reach me in person is about 5 minutes to the hour (425 778-4174). You
can also email me at Drbfmoss@ix.netcom.com.
click here to download ptinformation file
click here to download symptom checklist
click here to download issuesgoals file
click here to download confidential file
click here to download WAnotice file
click here to download policy statement
drbfmoss@ix.netcom.com
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