FORMS/INFORMATION
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Statement of Policies, Confidentiality and Fees Practices to Protect the Privacy
of Your Health Information
PATIENT INFORMATION FEES
Statement of Policies, Confidentiality
and Fees Concerning Psychological or
Forensic Evaluations
Insurance Information/Authorization
to Bill Third Party

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Bowden & Associates
Psychological and Counseling Services for the Entire Family
Helping you achieve emotional, physical, social, intellectual and spiritual well-being.

365 Riffel Rd., Ste B
Wooster, Ohio 44691
Phone: 330.345.3461
Fax: 330.345.3462