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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- About Dr. Lemke
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Home
About
- About Dr. Lemke
- Meet Your Therapist
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...)

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

SMITH_Authorization To Release Information.docx (pdf)Download

SMITH_Patient Registration Sheet Adult.docx (pdf)Download

SMITH_MC Authorization Form_1805.docx (pdf)Download

SMITH_Minor Patient Registration Form.docx (pdf)Download

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