Hines Counseling
**NOT ACCEPTING NEW CLIENTS AT THIS TIME
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Required paperwork for initial Counseling Session

Please print and complete all forms and bring to your first session. This will allow more time for us to focus on you and will get more out of your first visit!
demographics_form.doc
File Size: 62 kb
File Type: doc
Download File

intake_form.pdf
File Size: 38 kb
File Type: pdf
Download File

privacy_notice-_hipaa_1.14.pdf
File Size: 478 kb
File Type: pdf
Download File

patient_health_questionnaire.pdf
File Size: 30 kb
File Type: pdf
Download File

professional_disclosure_statement.doc
File Size: 29 kb
File Type: doc
Download File

statement_of_clients_rights.doc
File Size: 23 kb
File Type: doc
Download File

acknowledgement_page.doc
File Size: 23 kb
File Type: doc
Download File

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