Avery L Barber, MED, LCMHC, NCC - Providing Confidential Assessment, Counseling and Referral

Registration

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Download, print and complete these forms as they apply to you and bring them to you first session.

Once you open the forms, you can choose to save them to your Desktop. Open the saved file and you may be able to fill-in the forms by typing the information requested, then tabbing to the next box until finished.
 
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REGISTRATION

Notice of Privacy Practices [printer friendly]

Providing Confidential Assessment, Counseling and Referral