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FORMS AND DOCUMENTS
FORMS AND DOCUMENTS

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Client Registration Form
ClientRegistrationForm_GPetersen.pdf

Client's Rights and Responsibilities
ClientRightsAndResponsibilities_GPetersen.pdf

Covid Notice
COVIDNotice_GPetersen.pdf

HIPAA Notice Of Privacy Practices
HIPAANoticeOfPrivacyPractices_GPetersen.pdf

Telemedicine Services
TelemedicineServices_GPetersen.pdf


Call us for more information

Conveniently located at:
168 Battery Street
Burlington, VT 05401

President
Gordon Petersen
MSW, LICSW,CEAP
e-mail Gordon

©2009 Workplace Solutions, Inc.