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Helpful Forms

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2022 Client Intake Information Packet - All new clients must complete this packet of contact, background, and consent forms before beginning therapy at Secure. This packet also contains all information on our privacy practices, theory/philosophy of practice, financial commitments, fees, cancellations, treatment of minors, etc. Here: client-intake-information-packet-vnov2022.pdf

Authorization for Release of Information - (also called a "Disclosure Authorization") Use this form if you would like your counselor to consult/discuss your case with a medical doctor, agency, school, psychiatrist, or other professional, as well as to allow your counselor to receive information from other professionals. userfiles/928595/file/Authorization for Release of Information 2012.pdf


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