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Please bring (or email) completed copies of each of the following forms prior to your first appointment.<\/p>\n

All Forms Packet<\/a>\u00a0(includes everything below as one pdf file)<\/strong><\/p>\n

Individual Forms<\/strong><\/p>\n

Cancellation Policy – Jackie Femino-Nicoll, LICSW<\/a><\/p>\n

HIPAA Notice – Jackie Femino-Nicoll, LICSW<\/a><\/p>\n

Patient Information – Jackie Femino-Nicoll, LICSW<\/a><\/p>\n

Primary Care Physician Communication Form – Jackie Femino-Nicoll, LICSW<\/a><\/p>\n

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Please bring (or email) completed copies of each of the following forms prior to your first appointment. All Forms Packet\u00a0(includes everything below as one pdf file) Individual Forms Cancellation Policy – Jackie Femino-Nicoll, LICSW HIPAA Notice – Jackie Femino-Nicoll, LICSW Patient Information – Jackie Femino-Nicoll, LICSW Primary Care Physician Communication Form – Jackie Femino-Nicoll, LICSW<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"_links":{"self":[{"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/pages\/54"}],"collection":[{"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/comments?post=54"}],"version-history":[{"count":1,"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/pages\/54\/revisions"}],"predecessor-version":[{"id":86,"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/pages\/54\/revisions\/86"}],"wp:attachment":[{"href":"https:\/\/jfn-licsw.com\/wp-json\/wp\/v2\/media?parent=54"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}