Psychological Services Of East Lansing

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Patient Forms

Acknowledgement of NPI and consent to tx.pdf
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Child and Adolescent Information.pdf
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Client Application.pdf
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Doctor – Patient Policies and Information.pdf
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HIPAA Notice.pdf
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Registration Form.pdf
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Child email authorization form.pdf
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accepting credit cards signature on file.pdf
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Custody case child protection agreement.pdf
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Please Call Us Today: 517.599.4934

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    • Common Concerns
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  • About
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    • Secure Portal

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Why Choose Psychological Services Of East Lansing?

Jacqueline Titus, Ph.D is a clinical psychologist practicing in the East Lansing, Michigan area.  She provides therapy and treatment for a wide range of mental health, emotional, behavioral, and relationship issues in a caring, supportive environment.

Contact

Contact us for more information!
Psychological Services Of East Lansing
411 Lake Lansing Rd, Suite 120A
East Lansing, MI  48823
Tel: (517) 599 - 4934
Fax:(517) 489 - 4444
[email protected]
 
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