CLINICIAN:Date of Appt - Psychiatric Associates of North ...

I understand that other Psychiatric Associates’ staff may be present during the session to operate equipment. My Psychiatric Associates’ health care provider will inform me of the presence of any staff in the session and I have the right to request the following: (1) omit specific details of my medical history/physical examination that are personally sensitive to me; (2) ask non-medical ... ................
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