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Forms

Service Agreement

Receipt and Acknowledgment of Service Agreement

Intake Questionnaire

Informed Consent During COVID-19

Receipt and Acknowledgment of Consent During COVID-19

Authorization to Release Information

Notice of Privacy Practices

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Phone
412-823-5155

Fax
412-823-8262

Email
info@persoma.com

Hours
Office Hours: Mon-Fri | 8am-4pm
Clinical Hours: Mon-Sat |  8am-9pm

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