General Information Request or Service Inquiry
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Therapy
Executive Function Coaching
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Inquiry Description
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How did you hear about us?
If referred by a healthcare or mental health professional, who referred you?
Which Ann Arbor Therapy & Testing Clinician were you referred to?
Email Risk Acknowledgement and Use Consent
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I understand that the use of email and SMS text messages are inherently insecure and thus poses a risk to the security and confidentiality of my protected health information, and I consent to Ann Arbor Therapy & Testing Staff communicating with me via email or text message
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