Forms

Lili Daoud, LCSW
Cognitive Behavioral Therapy

  1. Welcome
  2. Financial Policy
  3. HIPAA
  4. Biographical Information
  5. TAS
  6. Anxiety Assessment
  7. SAL



Children 12 and under forms - Please print and fill out and bring to your first visit.
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  1. Welcome
  2. Financial Policy
  3. HIPAA
  4. Child Self Report
  5. Parent Report
  6. Youth Screens

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Steve Johnson, PhD, ScD
Lili Daoud, LCSW

176 West Main Street
2nd Floor, Above Carpetland
Avon, CT 06001

Phone: 860.677.2991
Fax: 860.284.6838
TeenPsych1@aol.com

"The beauty of being human and not a rat or a monkey is that you don't have to listen to your brain every time"

- Schwartz, UCLA

"People are disturbed not by things, but by the views they take of them."

- Epictetus

"The mind is its own place and in itself can make a Heav'n of Hell and a Hell of Heav'n"

- Milton

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