Lorin Shapiro, MFT
Marriage & Family Therapy
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Downloadable Forms

Lorin Shapiro is a licensed Marriage & Family Therapist in Beverly Hills, CA. She helps couples with relationship and fertility issues, and works with individuals on personal development, sex addiction, sexual diversity, and trauma.

 
 

To save time at your first session, please complete these forms prior to your appointment. If you have a couples therapy appointment, please fill in two sets of forms.

 

 
Confidential Patient Information Form - Lorin Shapiro MFT

Confidential Patient Information
Required
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HIPAA Privacy Policies Form - Lorin Shapiro MFT

HIPAA – Notice of Privacy Practices
Required
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Information and Consent for Treatment Form - Lorin Shapiro MFT

Information & Consent for Treatment
Required
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Consent to Release Confidential Information Form - Lorin Shapiro MFT

Consent to Release Information
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