Mary Slominski, LIMHP, LADC, CMSW - Forms
Mary Slominski, LIMHP, LADC, CMSW - Outpatient Mental Health & Chemical Dependency Therapy Services
If possible, please print and complete the following forms prior to your first session.
Completing the forms will allow more time in your initial session. If you have any questions regarding the forms, please leave blank and bring with you. Mary will answer any questions during your initial appointment. Also, please bring your insurance card if applicable.

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