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Deborah Lyman:
Forms

Forms

Print out or complete the online forms…

To Download & Print:

Intake Form

Authorization

Confidentiality

Insurance

Please complete these forms and mail to:
Deborah Lyman
Suite #1684, Seatowne Courtyard
1684 N. Coast Hwy.
Newport OR 97365

Be sure to include a copy of the front and back of your insurance card(s).

To Complete Online:

Intake Form

Authorization

Confidentiality

Insurance