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Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. If dually insured, please complete Client Psychotherapy Referral Form for Medicaid Insurance.

Please print and fax to (301) 429-6181 or email to cwray@alekshousemd.com.
(If you have additional pertinent information i.e. Medical reports, Discharge Reports etc. please fax/email as well.)




Helpful Forms

Click here to view and print forms for your appointment.

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