Debbie Tessmer-Wagner, LMFT, CCTP
Licensed Marriage and Family Therapist, (MFC#77147)
Certified Clinical Trauma Professional

 
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Psychotherapeutic &
Relational Services

3633 Camino del Rio South
Suite 102
San Diego, CA 92108

Tel: 619-507-2936

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DebbieWagnerspacer What to Expect
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DebbieWagnerspacer About Me
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DebbieWagnerspacer Resources
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Forms

If you prefer to complete all office paperwork prior to our meeting, please download the forms from the list below. If you would prefer to complete the paperwork in my office, please plan on arriving at least fifteen minutes early on your first visit. Thank you!

 

Client Name and Address
Patient Record of Disclosures
Insurance Verification and Billing
Receipt of Notice of Privacy Practices
Notice of Privacy Practices
Informed Consent
Consent for Treatment of a Minor

 

 

 

 

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