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verified by Psychology Today

Psychotherapy, EMDR and counseling for
Adults, teens, couples, and families

Licensed Marriage and Family Therapist
Certified EMDR therapist
EMDRIA Approved Consultant

Cupertino, CA 95014


Tel: (408) 310 0800
[email protected]
 
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Consent To Treat A Minor

  • Anat Fein, MA LMFT
    21760 Stevens Creek Blvd., Suite 202
    Cupertino, CA 95014
    (408)-310-0800
    [email protected]
  • I hereby acknowledge that I am the parent/legal guardian of the below named minor child, and do consent to the provisions of counseling services to the child with Anat Fein, MFT.
  • Date Format: MM slash DD slash YYYY
 
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