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Alicia Vidal-Zas, Psy.D. P.A
Psychological, Counseling and Behavioral Group
Contact Us: (305) 221-8200
Forms for ages 11 through 17
Download and complete the following forms to be brought upon initial consultation:
Download form below, select footer and provide patient name and insurance member ID
*If manually entered, ensure information is provided on each page.
Have your child complete the questionnaire below.
The parent(s)/guardian should complete the questionnaire below.
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