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Lisa Smith Klohn, Ph.D.

Individual Psychotherapy for Adults

    803-787-7889
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Helpful Forms

1.  New Client Forms. Please print, complete and return the following forms:
  • Client Agreement Form
  • HIPAA Notice
  • Telepsychology Informed Conset
  • Telepsychology Emergency Preparation Form

2.  No Surprises Act

3.  Good Faith Estimate Explanation



   803-787-7889
   2210 Devine Street Columbia, SC 29205 US
   [email protected]



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