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FORMS

Forms

Information Forms

Client Information Intake Authorization Release/Obtain Client Information Sheet

Consent Forms

Client Informed Consent Telehealth Consent Form Good Faith Estimate Consent to Treat Minors

Policies/Other

Client Cancellation Policy Acknowledgement of Receipt
CONTACT
702-321-9546

SCHEDULE APPOINTMENT
ADDRESS
 Rita Nesheiwat | MFT
 8565 S. Eastern Ave. #114
Las Vegas, NV 89123
CLINIC HOURS
Services provided by appointment only.
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All Rights Reserved | Rita Nesheiwat

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