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May 23, 2017, 5:53 AM Michael Gombatz attached 1-Patient Information Form - Informed -Consent-FINAL-17.docx to Forms
May 23, 2017, 5:53 AM Michael Gombatz attached 1-Patient Information Form - Informed -Consent-FINAL-17.docx to Forms
May 23, 2017, 4:12 AM Michael Gombatz attached 1-Patient Information Form - Informed -Consent-FINAL-17.docx to Forms
May 23, 2017, 4:12 AM Michael Gombatz deleted attachment 1-Patient Information Form - Informed -Consent -2017.docx from Forms
Apr 29, 2017, 4:08 AM Michael Gombatz edited Severn Psychological & Educational Services
Apr 29, 2017, 3:58 AM Michael Gombatz edited Severn Psychological & Educational Services
Apr 29, 2017, 3:55 AM Michael Gombatz edited Severn Psychological & Educational Services
Feb 27, 2017, 5:02 PM Michael Gombatz attached 1-Patient Information Form - Informed -Consent -2017.docx to Forms
Feb 27, 2017, 5:01 PM Michael Gombatz attached 1-Patient Information Form - Informed -Consent -2017.docx to Forms
Feb 27, 2017, 5:01 PM Michael Gombatz deleted attachment 1-Patient Information Form - Informed -Consent -2017.docx from Forms
Feb 27, 2017, 5:01 PM Michael Gombatz attached 1-Patient Information Form - Informed -Consent -2017.docx to Forms
Feb 27, 2017, 4:57 PM Michael Gombatz attached 2-Blank Release of Information updated February 27, 2017.pdf to Forms
Feb 27, 2017, 4:48 PM Michael Gombatz attached 4-Addendum to Treatment - update 2015.pdf to Forms
Feb 27, 2017, 4:46 PM Michael Gombatz attached 3-Notice of Privacy Practices.pdf to Forms
Feb 27, 2017, 4:46 PM Michael Gombatz attached 3-Notice of Privacy Practices.pdf to Forms
Feb 27, 2017, 4:46 PM Michael Gombatz deleted attachment 3-Notice _of_Privacy_Practices_HIPPA11.pdf from Forms
Feb 27, 2017, 4:45 PM Michael Gombatz attached 3-Notice _of_Privacy_Practices_HIPPA11.pdf to Forms
Feb 27, 2017, 4:45 PM Michael Gombatz attached 1-Patient Information Form - Informed -Consent -2017.docx to Forms
Feb 27, 2017, 4:45 PM Michael Gombatz attached 2-Blank Release of Information updated February 27, 2017.pdf to Forms
Feb 27, 2017, 4:45 PM Michael Gombatz attached 4-Addendum to Treatment - update 2015.pdf to Forms
Feb 27, 2017, 4:44 PM Michael Gombatz attached 3-Notice _of_Privacy_Practices_HIPPA11.pdf to Forms
Feb 27, 2017, 4:44 PM Michael Gombatz deleted attachment 3-Notice_of_Privacy_Practices_HIPPA11.pdf from Forms
Feb 27, 2017, 4:44 PM Michael Gombatz attached 3-Notice_of_Privacy_Practices_HIPPA11.pdf to Forms
Feb 27, 2017, 4:43 PM Michael Gombatz attached 2-Blank Release of Information updated February 27, 2017.pdf to Forms
Feb 27, 2017, 4:43 PM Michael Gombatz attached 1-Patient Information Form - Informed -Consent -2017.docx to Forms

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