DrThaliaMoshos

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DrThaliaMoshos

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Forms

If possible, please open, print, complete and bring to your first appointment.  Thank you.

Authorization for Release of Information (pdf)Download
Client Information Form (pdf)Download
Consent for Treatment of Minor (pdf)Download
Contract for Safety (pdf)Download
Important Information Regarding Your Treatment and Client Rights (pdf)Download
Privacy Practices (pdf)Download
Important Information Regarding Your Treatment and Client Rights (pdf)Download

THANK YOU

I look forward to meeting and working with you.

Dr. Thalia Moshos, Clinical Psychologist, 222 E. Orange Street, Lancaster, PA 17602

Specializing in Eating Disorders, Anxiety, Depression, Trauma, Body Image, Self Harm, Adjustment Disorders

Philadelphia PA • Cedar City UT • Fairfax VA • Alexandria VA • And now, Lancaster PA

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