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    • About Dr. Coffey
    • Guiding Principles
    • About ARC
  • Services
    • Individual Counseling
    • Couples Counseling
    • Work in Schools
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  • Fresh Perspectives

Forms & Information

Before your visit, please download the appropriate form(s), complete, and bring to your appointment. Do not email the form, as it contains personal information.

Dr. Coffey also asks that you review our office policies on privacy, payment, appointments and cancellations, etc.

Intake Forms
  • Permission for Release of Information (PDF doc)
  • Brief Background Questionnaire (PDF doc)

Payment 
  • Payment, Credit Card Authorization and No-Show Fees (PDF doc)

Office Policies and Information
  • Notice of Privacy (PDF doc)
  • Appointments, Cancellations, No-Show Policy (PDF doc)
  • Payment Policies (PDF doc)

Telemedicine
  • Informed Consent for Telemedicine (PDF doc)
Get in touch to make an appointment.
Contact Us
© Arts for Replenishment and Change, PLLC
​
Dr. Annie Ready Coffey, Psy.D., RDT

530 East Main Street, Suite 420
Richmond, Virginia 23219
​
804/305.2295
  • Home
  • About
    • About Dr. Coffey
    • Guiding Principles
    • About ARC
  • Services
    • Individual Counseling
    • Couples Counseling
    • Work in Schools
  • Forms
  • Contact
  • Fresh Perspectives