🛠️ Clinical Tools

Dr. Bustamante's Professional Toolkit

Enter Access Code

✓ Email app opened! Just hit send.
✓ Email saved to your contact list!

Message Preview

📊 View Email List in Google Sheets
✓ Letter copied! Paste into Gmail and send.
4 LAWS
4lawsacademy.com
The Center for Resilience
Fostering resilience through trauma treatment and education
thecenterforresilience.org
Eduardo M. Bustamante, Ph.D.
Licensed Clinical Psychologist
January 15, 2026

To: [ Enter recipient ]

Re: [ Enter subject ]

Dear [ Recipient ],
[ Your letter content appears here as you type... ]
With you in this,
Signature
Eduardo M. Bustamante, Ph.D.

Licensed Clinical Psychologist, MA PSY3644

Tel: 413-345-6190

AUTHORIZATION TO RELEASE INFORMATION

CLIENT INFORMATION
COMMUNICATE WITH
INFORMATION TO SHARE
DIRECTION
EXPIRATION
I may revoke this at any time in writing. Information disclosed may be re-disclosed. Treatment is not conditioned on signing.
SIGNATURE

🛠️ Herramientas Clinicas

Kit Profesional del Dr. Bustamante

Ingresa el Codigo

✓ Email abierto! Solo dale enviar.

Vista Previa del Mensaje

✓ Carta copiada! Pega en Gmail y envia.
4 LEYES
4lawsacademy.com
El Centro de Resiliencia
Fomentando resiliencia a traves del tratamiento del trauma y la educacion
thecenterforresilience.org
Eduardo M. Bustamante, Ph.D.
Psicologo Clinico Licenciado
15 de enero de 2026

Para: [ Ingresa el destinatario ]

Re: [ Ingresa el asunto ]

Estimado/a [ Destinatario ],
[ El contenido de tu carta aparecera aqui mientras escribes... ]
Contigo en esto,
Firma
Eduardo M. Bustamante, Ph.D.

Psicologo Clinico Licenciado, MA PSY3644

Tel: 413-345-6190

AUTORIZACION PARA DIVULGAR INFORMACION

INFORMACION DEL CLIENTE
COMUNICAR CON
INFORMACION A COMPARTIR
DIRECCION
VENCIMIENTO
Puedo revocar esto en cualquier momento por escrito. La informacion divulgada puede ser re-divulgada. El tratamiento no esta condicionado a firmar.
FIRMA