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Carolina Psychology Group, PLLC

Forms

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Crisis Response Resources

https://www.mediafire.com/file/din27dbtfw67dia/CPG-Crisis_Response_Resources%252CWinstonSalemandSurroundingAreas%252CUpdated%252CApril24%252Cpdfversion.pdf/file

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Insurance Information Details

https://www.mediafire.com/file/8dshwsu9toz8mzg/Suggestions_for_Gathering_Needed_Information%252C_INSURANCE_EVALUATIONS%252Cupdated%252CJanuary2023%252Cpdfversion.pdf/file

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CPG Release Form

https://www.mediafire.com/file/edagax3qaf36hze/BLANK%252CCPG%252CRelease%252CFillablePDFform%252CApril2022.pdf/file

Please review to address potential for insurance reimbursement.

Please download and complete prior to submitting.

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