Barbara Baumgardner, PhD, PMHNP-BC, IBCLC Clinical Psychologist - Psychiatric Nurse Practitioner - Prescriber

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Dr. Barbara Baumgardner
623-262-8915
AZ
Dr.BarbaraBaumgardner@gmail.com
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake
  • Personal Information Form
  • Consent for Treatment (Adults Over 18 or Minors)
  • Couple's Counseling Intake Form
  • HIPPA Policies
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form
Note: To download Adobe Acrobat Reader for free, click here.
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