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    4337 Cox Road Glen Allen, VA 23060
    tandemmentalhealth@gmail.com
    Phone: 804-277-9877 | Fax: 804-270-1211

    • Home
    • About Us
      • Our Practice
      • Dr. Robyn Nunley, Co-Owner, Ph.D., LPC, LMFT
      • Dr. Ariel Ham, Co-Owner, Psy.D., LCP, CSOTP, CATP
      • Dr. Juliet Cameron, Psy.D, LCP, ADHD-CCSP, CATP
      • David Sorrentino, LPC, CSOTP
      • Amber Golden, LPC, ATR
      • Dr. Amanda Campbell, Ph.D., LCP
      • Rachel Boykin, LPC-R
      • Rhiannon Alley, LPC, CSOTP
      • Mckayla Parker, Clinical Intern, QMHP-Trainee
    • Services
      • Individual Therapy
      • Group Therapy
      • Family Therapy
      • Couples Therapy
      • Art Therapy
      • Psychological & Educational Assessments
      • The Snoezelen Room
      • Workshops & Trainings
    • Getting Started
      • Therapy FAQ’s
      • Request an Appointment
      • Client Forms
      • Request your Superbill
      • Managing Treatment Cost
    • Careers
    • Contact Us
    • COVID-19
    • GFE’s

    Client Forms

    The following forms are here to help you get started. Please download and look them over, so that your first appointment will be productive.

    Contact Information Form

    Release of Information Form

    Notice of Privacy Practices (HIPAA)

    Telepsych Confidentiality and Consent

     

     

  • Contact Us

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    Office Hours
    Monday: As needed
    Tuesday: 9:00am-7:00pm
    Wednesday 9:00am-7:00pm
    Thursday 9:00am-7:00pm
    Friday 9:00am-6:00pm
    Saturday: As needed
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    AAMFT
    AAMFT

  • Tandem Mental Health Associates, Inc. |   804-277-9877

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