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    714-673-8121

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    Forms

    My goal is to make your first appointment a productive one. Please download and view these forms before your first visit. Also please print and complete the “Client Intake” form.

    Client Intake

    Authorization for Release of Information

    Client Contact Information Sheet

    npp_layered_hc_provider

    Financial Agreement

    Confidentiality Form

    Tracie Howell
    Licensed Marriage and Family Therapist #84365
    Tracie Howell picture
    Phone:
    714-673-8121

    Email:
    tkellyhowell@gmail.com

    Contact Me

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