Carole Landis Relationship Therapist | Life Coach
349 W.Lancaster Avenue, Suite #103
Haverford, PA 19041
610.649.9964
carole@mstherapist.com
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Forms

These are just some of the forms of information that we both share about ourselves with each other. The rest we will review in person. To save time for your first visit, you can click the links below to download and print each form. Please review and fill these forms prior to your first visit. I will be happy to review any questions you may have during out first meeting.

Notice of Privacy Practices (3-part HIPAA form)

Information You Have A Right To Know

What to Expect on Your First Visit

Client Bill of Rights

Carole Landis is located in Haverford, Pennsylvania (PA) on the Main Line in Montgomery County. Her service area includes: Philadelphia, Montgomery County (Haverford, Bryn Mawr, Bala Cynwyd, Wynnewood, Villanova, Rosemont, Narberth, Gladwynne, Penn Valley, King of Prussia, Ardmore) and Delaware County (Newtown Square, Broomall, Havertown, Upper Darby).

Contact Carole for a free 1/2 hour phone consultation.

Carole Landis, Relationship Therapist, Life Coach

Delaware County Relationship Therapist Life Coach

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