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Adult Intake Assessment
$
60.00
Credit Card Authorization
$
20.00
Good Faith Estimate Document
$
60.00
Minor Intake Assessment
$
60.00
No Surprises Act – Letter to Client
$
40.00
Notice of Privacy Practices
$
45.00
Release of Information
$
0.00
Superbill Template
$
30.00
Texas Informed Consent
$
75.00
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