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The Briarwood Clinic
3645 North Briarwood Lane Suite A
Muncie, Indiana 47304
Ph
(765) 289-5520 Fax (765) 289-5840
** Required Forms
-
Must read
prior to New Patient Registration
**Privacy Policy
**Financial Agreement
**Patient Rights & Responsibilities
**Cancellation Policy
Click the boxes below to read and print these forms.
DOXY INSTRUCTIONS
*Teletherapy Informed Consent
In-Person Therapy Informed Consent
Click on the forms below to complete and submit electronically
CONSENT TO REQUEST/RELEASE CONFIDENTIAL INFORMATION
CONSENT FOR COUPLES COUNSELING