FORMS

To initiate the intake process, please complete the following forms and email a scanned copy to info.perez@perezllc.net:

INTAKE
FORM
PAYMENT CONTRACT
NOTICE OF INFORMATION POLICY
RECIPIENT'S RIGHTS
(for your records)
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2916 GENERAL DEGAULLE DRIVE, SUITE 104

NEW ORLEANS, LA 70114

EMAIL  INFO@PEREZLLC.NET

PH (504) 641- 4438

FAX (504) 641- 6620

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