Forms

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Acknowledgement of Receipt of Notice of Privacy 

Authorization to Disclose Protected Health Information

Michelle Donaldson, M.S.

Positive and Supportive Therapy

Licensed Marriage and Family Therapist

“The Happiest Life is that which constantly exercises and educates what is best in us.” - Hamerton

Confidential voicemail: (401) 324-9395 

Cell phone: (951) 522-6766

Email: connect@michelledonaldsonmft.com

1490 Claremont Boulevard, Suite 204

 Claremont, California 91711