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Life is a journey; not a destination! 

Woman Being Free

Forms

 

Consent Forms (Informed Consent, HIPAA, and PDS (Please Read Before Completing the Intake Form.)

New Client Intake Form (Please click on the link, complete the form and press the submit button at the end of the form.)

Previous Client Information Form (Please click on the link, complete the form and press the submit button at the end of the form.)

Release of Information Authorization (Only complete with counselor if necessary.)