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Mary Clare LCSW | Couples Therapy and Individual Therapy
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Practice Forms

Click the link below to read and/or download:

 

Form A: Client Information Form

Form B: Client Health

Form C: Symptom Checklist

Form D: Informed Consent for Therapy Services

Form E: Notice of Privacy

Form F: Magellan Client Information

Form G: Magellan Statement of Understanding

Call or Email Me Today:

Phone:  585-262-2820

Email: maryclarelcsw@gmail.com

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Google Review

“Mary Clare has helped me in ways unimaginable. She has been flexible with my schedule and worked through some highly emotional issues with me… Not giving up on me until I had the strength to close the chapter on that issue in a healthy way. She has connected me with community resources pertinent to my emotional healing and I am forever grateful to have walked into her office doors seven years ago. She is professional and expects me to commit to the work we do together.”

Google Review

“She is the only therapist that has ever helped me, and I continue to recommend her to people who want honest feedback and constructive help. She will call you out and say the things you need to hear; she is not going to coddle you. If you really want help getting through your issues, and are ready to actively do so, Mary is who I would highly recommend.”

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