DEANNA M. STASSI, MA, LPC


LICENSED PROFESSIONAL COUNSELOR


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Forms



Please complete these forms and email back to be or bring to your first session:

Informed Consent

Cancellation Policy

Electronic Communications Policy

HIPAA Notice of Privacy Practices

Acknowledgement of Receipt of "HIPAA Notice of Privacy Practices"

Intake Information

Registration

Social Media Policy

Assessment

Telemental Health Informed Consent



Other forms to be completed as needed:

Complaint Form

Authorization for the Release of PHI



Certifications and Associations




CALL TODAY: 314-562-7796

11100 Mueller Road
Suite 1
St. Louis, Missouri 63123