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Martha Ireland, PhD, RN, CS, CEDS-S, BC-TMH

a certified eating disorder specialist with ADE, Inc., also known as Altering Disordered Eating.

a certified eating disorder specialist with ADE, Inc., also known as Altering Disordered Eating.

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Home » Forms

Forms


On this page you can access our forms:

  1. Client Intake Form
  2. Client Consent Form
  3. Notice of Privacy Practices
  4. Notice of Privacy Practices Receipt and Acknowledgement of Notice
  5. Adult Information Form
  6. Adolescent Information Form
  7. ADE, Inc Release Form
  8. Authorization for Disclosure of Protected Health Information
  9. No Harm Contract
  10. Informed Consent for Online Therapy
  11. ADE Permission to Contact Form

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