George Sawin, LICSW, SAP Family Counseling Associates of Wellesley: Support for Individuals, Couples & Families

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George Sawin
781-237-0095 Tel
781-237-2295 Fax

Family Counseling Associates
of
Wellesley
11 River St, Flr 2
Wellesley, MA 02481

gsawin@fcaw.net
www.DotTrainings.com
Helpful Forms


If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.


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