Amanda S. Fuhrman, PsyD

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I am in the process of changing over to a new system.  You can complete the forms below or I can send you a welcome email through Therapy Notes that allows you access to a portal.

Please take some time to review the following information.  Please complete both the New Client Form and the appropriate Developmental History form.  If you have any difficulty with completing these forms let me know and we will work out a solution.


All new clients should  print out, complete, and bring the following form to your first visit: 

- New Client Form
​

 
The Notice of Privacy Practices is for your records:


Also complete the appropriate developmental history packet: 

- Developmental History (under 18)

- Developmental History (over 18)
Amanda S. Fuhrman, PsyD

​610-574-1262

105 West Third Street
Media, PA 19063
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Photo from Parker Knight