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ADHD ASSESSMENT

Birthday
Month
Day
Year
ADHD ASSESSMENT
$250

Consent to Treatment, Confidentiality, and Privacy


  • I consent to receive services from Vivir Counseling professional services.

  • I understand that information shared during sessions will be kept confidential, except as required by law (e.g., harm to self or others, child abuse reporting).

  • I have been informed of Vivir's privacy practices, including how my information may be used and disclosed.

  • I understand I can discuss any questions or concerns I have about treatment, confidentiality, or privacy with my clinician.

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