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Disclosures and Forms

Please download, sign, and bring to your first appointment.

Patients of Clinic Providers:

New Patient Forms

Patients of Sarah Hayworth:

Mandatory Disclosure
Consent to Treatment
Psychotherapy Intake Form
Telemedicine consent

307.387.9850
[email protected]
201 W Lakeway Road, Suite 800
Gillette, WY 82718

Who We Are
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Care Team
Your First Visit
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Careers

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Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Newsletter

Get the latest news and health & wellness tips.

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© 2022 Hoskinson Health & Wellness Clinic. All rights reserved.

307.387.9850
[email protected]
469 WY-50 Gillette, WY 82718
201 W Lakeway Road, Suite 800
Gillette, WY 82718

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Menu

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Newsletter

Get the latest news and health & wellness tips.

Email

© 2022 Hoskinson Health & Wellness Clinic. All rights reserved

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Menu

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

307.387.9850
[email protected]
201 W Lakeway Road
Suite 800
Gillette, WY 82718

Newsletter

Get the latest news and health & wellness tips.

Email

© 2022 Hoskinson Health & Wellness Clinic. All rights reserved.

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