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    • Out-of-control Sexual Behavior (“Sex addiction”)
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  • Home
  • “Sex Addiction”
    • Out-of-control Sexual Behavior (“Sex addiction”)
    • Problematic Pornography Use
    • Paying for Sex
  • Philosophy
  • Groups
  • Sex Therapy
  • About Me
  • Fees
  • Client Forms
  • Contact Me

Client Forms

New Client Forms

Please Print out the forms below, complete and bring to your initial appointment:

Client Registration Form

Medical History

Telemedicine Consent Form

Disclosure Statement

Getting Reimbursed

Notice of Privacy Practices

Release of Information

Excitation and Inhibition Questionnaire

ACE Scale

ADHD Scale

Sexual-Symptom-Assessment-Scale

Hypersexual Behavior Consequences Scale

Relationship Structures Questionnaire

OCSB Group Contract

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