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    Forms

    MNCCTA Informed Consent for Psychotherap

    Informed Consent for Psychotherapy

    MNCCTA Therapeutic Assessment Informed C

    Informed Consent for Therapeutic Assessment

    MNCCTA HIPPA Notice 12.19.pdf

    Health Insurance Portability and Accountability Act (HIPPA) Document

    Release of Information 12.19.pdf

    Release of Information

    MNCCTA Financial Contract 12.19.pdf

    Financial Contract

    MNCCTA Guide for OON 11.19.pdf

    Guide for Reimbursement of Out-of-Network Benefits for TA

    Contact MNCCTA
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