Dr. Kimberly A. Lemke
P.C. & Associates

Dr. Kimberly A. Lemke P.C. & AssociatesDr. Kimberly A. Lemke P.C. & AssociatesDr. Kimberly A. Lemke P.C. & Associates

Dr. Kimberly A. Lemke
P.C. & Associates

Dr. Kimberly A. Lemke P.C. & AssociatesDr. Kimberly A. Lemke P.C. & AssociatesDr. Kimberly A. Lemke P.C. & Associates

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Home
About
- About Dr. Lemke
- Our Team
Services
Contact
More

Downloads

LEGAL ALL (2) Informed Consent for Telepsychology (1) (pdf)Download

Electronic Communication Policy (pdf)Download

COVID Consent for Returning to In (pdf)Download

ALL Professional Service Agreement_1805_2023 (pdf)Download

ALL-HIPPAForm2023 (pdf)Download

ALL-HIPPA Policies 2025 (pdf)Download

LEMKE_Patient Registration Sheet Adult (pdf)Download

LEMKE_Minor Patient Registration Form (pdf)Download

LEMKE Authorization To Release Information_1805(2) (pdf)Download

LEMKE Visa MC Authorization form_1805 (pdf)Download

ZUREK_Patient Registration Sheet Adult (pdf)Download

ZUREK_Minor Patient Registration Form (pdf)Download

ZUREK_Authorization To Release Information (pdf)Download

ZUREK Visa MC Authorization form_1805 (pdf)Download

Downloads (Continued...)

MCGANN_Patient Registration Sheet Adult (pdf)Download

MCGANN_Minor Patient Registration Form (pdf)Download

MCGANN_Authorization Release Info Form (pdf)Download

MCGANN_Visa MC Authorization form (pdf)Download

RIVARD_Patient Registration Sheet Adult (pdf)Download

RIVARD_Minor Patient Registration Form (pdf)Download

RIVARD_Authorization To Release Information (pdf)Download

RIVARD_Visa MC Authorization form_1805 (pdf)Download

MONTALTO_Patient Registration Sheet Adult.docx (pdf)Download

MONTALTO_Minor Patient Registration Form.docx (pdf)Download

MONTALTO_Authorization To Release Information.docx (pdf)Download

MONTALTO_Visa MC Authorization form_1805.docx (pdf)Download

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