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Alva Robinson, LSW, LLC

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Client Forms

If you are new to therapy, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.

Client Contact Information Sheet

Client Intake

Authorization for Release of Information

HIPAA Document 9-27-16

Alva Robinson



Phone: (215) 621-6474
alvacounseling@therapysecure.com
Fax: (215) 621-6474

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Alva Robinson

Phone: (215) 621-6474

Email: alvacounseling@therapysecure.com

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“Be faithful to that which exists within yourself.” – André Gide

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