Lou A. Lichti, Ph.D.
City Park Psychological Services & Associates, LLC
370 Virginia Avenue
Hagerstown, MD 21740
ph: 301.733.3130
fax: 301.733.3230
lichti
Forms
Please fill out these forms and bring them with you to your first appointment:
Client Services Contract and Privacy Policy
Please sign, date and complete the last page of the contract and bring it and the completed Information Sheet with you.
If you prefer, you may arrive 15 mins early to complete this paperwork you will find on a clipboard on a table in the waiting room.
Still have questions? Please contact us anytime! We look forward to hearing from you.
For directions to our location click here.
City Park Psychological Services & Associates, LLC
370 Virginia Avenue
Hagerstown, MD 21740
ph: 301.733.3130
fax: 301.733.3230
lichti
