Marjorie Lamphear, PhD
Compassionate Psychotherapy Services
For Individuals and Couples

Marjorie Lamphear, PhD

14 Hayward Street
Cranston, RI 02910
(401) 837-3224

Contact-09 (AT) Lamphear.com


Forms

Please click on the following links, for forms and notices that you can print directly from your computer.

Informed Consent:  Take time to familiarize yourself with the items on this form and jot down any questions.  We will discuss it in detail in our first or second meeting.  (Please wait till then to sign it.)

Notice of Privacy Rights and Practices:  The first four pages are for you.  You need only bring me the signed “Acknowledgement of Receipt”.

Release of Information: Completing this form permits me to speak with those who have knowledge of your needs. Please fill one out for each (mental health and other) provider who can inform me about how to best help you.

Life Functioning Inventory: Your thoroughness in completing this form will assist me in identifying areas of strength and concern.