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    practicemanager@openedhearttherapy.com | 919-808-1127

  • Opened Heart Therapy

    • Home
    • Our Team
      • Matthew Munich, LICSW, PhD
      • Melissa Ming Foynes, PhD
    • Services
      • Assessments
      • Therapy
        • Therapy for Perinatal Mental Health Difficulties
        • Trauma, Loss, and Unexpected Complications in Mothers, Infants, and Children
        • Mindfulness-Based Therapy
        • Dialectical Behavior Therapy (DBT)
        • Trauma-Related Therapy
          • Prolonged Exposure Therapy (PE)
          • Dialectical Behavior Therapy and Prolonged Exposure (DBT PE)
          • Cognitive Processing Therapy (CPT)
          • Skills Training in Affective & Interpersonal Regulation – STAIR
          • Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder (CBCT)
        • Interpersonal Psychotherapy (IPT)
        • Cognitive Behavioral Therapy (CBT)
        • Multi-Family Support
      • Consultation & Supervision
    • Getting Started
      • Rates & Insurance
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    • Workshops & Trainings
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    • Contact
    • Publications
      • Dr. Munich
      • Dr. Foynes
    • The Science and Soul of Living Well Podcast

    Client Forms

    Once you have scheduled your appointment, please complete these forms and bring them with you to your first session:

    1) Intake Form
    2) Notice of Privacy Practices (to be read and kept for your records)

    If you would like to grant permission for us to speak with anyone else about your care, please fill out the following:

    Authorization for Release of Information

    Please let us know about any questions you may have.

    Opened Heart Therapy

    5003 Southpark Drive
    Suite 240
    Durham NC, 27713

    practicemanager@openedhearttherapy.com
    919-808-1127
    By reaching out to us through the website you agree to be contacted by one of the therapists and/or the practice manager. Please note that it may take us at least 5 to 7 business days to respond to you. If you do not hear back from us within that timeframe, please email us at info@openedhearttherapy.com to confirm receipt of your message. Please also check your spam folder. We take responding to inquiries very seriously and will make every effort to respond to you as quickly as possible.
    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

    Opened Heart Therapy |  919-808-1127 | practicemanager@openedhearttherapy.com

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