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CDE / Psychological Consent Form Packet
*** ONLY COMPLETE THIS PACKET IF YOU AR REQUESTING A ONE TIME APPOPINTMENT TO DETERMINE DEVELOPMENTAL DIAGNOSIS OR INTELLECTUAL RANGE.
If you are requesting Mental Health Therapy or ABA services please use the other consent form packets.
Please complete this consent packet by entering the requested client, parent/guardian, and provider information, and sign each consent section as instructed. All relevant wording, headings, and instructions from the original PDF should be preserved where practical.
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