evening appointment
Keithmiller Conseling Phone:202-629-1949
 

Laurie Persh Forms


I look forward to meeting with you very soon. Please complete the forms and bring them to the first session or take the first few minutes of your session to fill them out after I greet you in the waiting area.

The following two forms are REQUIRED for meeting with Laurie Persh:

Laurie Persh New Client Form and Consent for Care

 

 

The following forms are OPTIONAL and used only when needed:

CREDIT_CARD_AUTHORIZATION_FOR_SERVICES_FORM

Consent for Release of Information

 
 
 
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Office Locations:
1320 19th Street, NW
Suite #200
Washington, DC 20036

4831 West Lane
Bethesda, MD 20814

Keith Miller
 
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