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Client Consent
I give Marilyn Pearlman, LCSW my permission to communicate with my providers given below.
She may also communicate with the listed family members with my knowledge and approval:

Thanks for submitting! Please read below for instructions on Driver's License & Insurance.

Insurance Card and Driver's License

Please submit the following to

  • FRONT and BACK photos of your insurance cards

  • Photo of your driver's license

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