Global Psychotherapy Center
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    • Meet the Team - Bethesda Office
    • Meet the Team - DC Office
  • Common Questions
  • Services
    • SERVICES PROVIDED
    • SPEAKING ENGAGEMENTS & PRESENTATIONS
  • Coaching
  • Get Started
  • Fees & Cancellation Policy
  • Resources

    Contact form:

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Forms:

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​  
​   Please complete the following forms by printing and falling-out the forms so  
   that they are ready for your first appointment
.

Patient Intake Form:
  • Please fill in the information below and bring it with you to your first session.
*Please note: information provided on this form is protected as confidential information.*
Authorization to Disclose Information Form:
  • If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:​
Cancellation Policy Form:​
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patient_intake_form.pdf
File Size: 169 kb
File Type: pdf
Download File

authorization_to_disclose_information_form.pdf
File Size: 28 kb
File Type: pdf
Download File

cancellation_policypdf
File Size: 91 kb
File Type: pdf
Download File

    Schedule your first appointment or a 15-minute phone consultation now! 
    ​The first step for your wellness journey.    


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GLOBAL PSYCHOTHERAPY CENTER

BETHESDA OFFICE
4400 EAST WEST HIGHWAY
​SUITE C/E
BETHESDA, MD 20814
​
301-320-7369
DC OFFICE
1900 L ST. NW
SUITE 503
WASHINGTON, DC 20036
​
301-320-7369


  • Home
  • About Us
    • Meet the Team - Bethesda Office
    • Meet the Team - DC Office
  • Common Questions
  • Services
    • SERVICES PROVIDED
    • SPEAKING ENGAGEMENTS & PRESENTATIONS
  • Coaching
  • Get Started
  • Fees & Cancellation Policy
  • Resources