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    1885 The Alameda San Jose, CA 95126
    myseekingwellness@outlook.com ยท 408-618-6288

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    Forms

    My goal is to make your first appointment efficient and successful. Please download and complete the following forms before you arrive.

    • Client Consent Form
    • Client Demographic Form
    • Notice of Privacy Practices
    • Consent to Use PHI for TPO
    • Notice of Privacy Practices Receipt
    • Accounting of Disclosures Policy
    • HIPAA Authorization Form
    • Ready to Leave Therapy
    • Office Photo Google Maps

    Christine Tronge, LCSW
    BBS# 27832

    1885 The Alameda
    San Jose, CA 95126

    Phone:
    408-618-6288
    Email:
     MySeekingWellness@outlook.com

    Contact Me

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  • Christine Tronge, LCSW
    1885 The Alameda   |   San Jose, CA 95126
    408-618-6288

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