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shari@shariderksen.com
(403) 660-0271

Shari Derksen

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Contact Today


(403) 660-0271
shari@shariderksen.com

The Varsity Clinic #102, 4616 Valiant Drive NW
Calgary, Alberta T3A 0X9

(403) 660-0271
shari@shariderksen.com

The Varsity Clinic #102, 4616 Valiant Drive NW, Calgary Alberta T3A 0X9

 

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The privilege of a lifetime
is being who you are.

– Joseph Campbell

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