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Jane Maguire, LMHC, CAP
(727) 531-7988
1101 Belcher Rd. S
Suite J
Largo, Fl  33771
(727) 531-7988

jmcounselor5@gmail.com
HELPFUL FORMS

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

 


Client Intake Form  
Confidentiality and Cancellation Policy  
Consent to Release  

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