FORMS
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Adult
Checklist of Concerns |
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Client Information |
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Consent for Treatment |
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Counselor
Disclosure Statement |
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Notices
of Privacy Practices |
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HIPPA
Authorization Form |
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Permission to Bill Insurance Company |
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Michele M. Freeman MS NCC LPC
354 NE Greenwood Av., Ste 207
Bend OR 97701
541-408-4943 |
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