SUSAN SNYDER, M.S., M.S.W.
LICENSED CLINICAL SOCIAL WORKER
Helpful Forms


CONTACT ME AT 859-233-3390 to BOOK AN APPOINTMENT IMMEDIATELY...OR
859-797-8878 TO GET ACQUAINTED FIRST...OR IF YOU HAVE AN EMERGENCY.


I’LL LET YOU KNOW IF I CAN HELP OR I’LL REFER YOU TO SOMEONE WHO CAN

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

 

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


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