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Beth Holt Wright, LCSW
Licensed Psychotherapist in Virginia, North Carolina, and West Virginia
Eye Movement Desensitization and Reprocessing
Internationally Certified Clinician
(540) 492-4057
beth.holt.wright@gmail.com
Authorization for Release/Exchange of Information
This form provides your therapist with written permission to communicate with other individual providers regarding your treatment (e.g. previous treating therapist, current health care providers, parents or school).
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