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2 Locations

133 North 4th Street

Easton, PA 18042 

409 Main Street

Chester, NJ 07930

Phone: 908-235-8489 908-235-8489

Email: pjlachance@outlook.com

 

Practice Forms

Treatment Agreement
Informed Consent Agreement.pdf
Adobe Acrobat document [98.5 KB]
No Secreets Policy for Couples
No Secrets Policy.pdf
Adobe Acrobat document [93.3 KB]
Intake Form.pdf
Adobe Acrobat document [106.1 KB]
Insurance Information and Good Faith Estimate
Insurance Form.doc
Microsoft Word document [41.0 KB]
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© Paul J. LaChance