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    126 Redwing Dr. | Santa Rosa, CA 95409
    mom@marieomearalcswca.com | (707) 210-4418

  • Marie O'Meara, LCSW

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Form

    Information Sheet

    Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information


    LCS 13131

    126 Redwing Dr.
    Santa Rosa, CA 95409

    (707) 210-4418
    mom@marieomearalcswca.com

    Contact Today

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    Marie O'Meara, LCSW
    mom@marieomearalcswca.com | (707) 210-4418

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