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​PHONE: 513.793.6226, ext 1

Dr. Susan Steinberg
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​Psychotherapy and Telehealth Forms

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  • ​New Patient Intake and Credit Card Information
  • Patient Telehealth Information Form
  • Telehealth Emergency Plan Form
  • Informed Consent for Telepsychology
  • Dr. Steinberg’s Psychotherapist–Patient Agreement and Notice of Privacy Practices

Resources

  • American Psychological Association​
  • Ohio Psychological Association
  • Cincinnati Academy of Professional Psychology​
  • American Society of Reproductive Medicine (ASRM is a voluntary, non–profit organization devoted to advancing knowledge and expertise in reproductive medicine, including infertility, menopause, contraception and sexuality)
  • ADDitude Magazine Online Information (a wonderful resources for families with a member diagnosed ADHD or ADD)​

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513-793-6226, ext. 1 | 10597 Montgomery Road, Suite 201 | Cincinnati, Ohio 45242

Psychotherapist–Patient Agreement and Notice of Privacy Practices >>

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