Womble Counseling Services

Womble Counseling ServicesWomble Counseling ServicesWomble Counseling Services

Womble Counseling Services

Womble Counseling ServicesWomble Counseling ServicesWomble Counseling Services
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    • Home
    • About
    • Services
    • Contact Me
    • Request An Appointment
    • Forms
    • Rates and Insurance
    • FAQ
    • Helpful Resources
  • Home
  • About
  • Services
  • Contact Me
  • Request An Appointment
  • Forms
  • Rates and Insurance
  • FAQ
  • Helpful Resources

Practice Forms for Download

  

Please download and print the forms below before your initial session. The short version of the Notice of Privacy  Practices (NPP) will require your   signature to acknowledge that you received a copy and will remain on file with my office.  A longer, comprehensive version of the Notice of Privacy   Practices is also available for download and for your personal records.  


 Please bring the completed documents to your first appointment. It is important that all sections of the forms are completed.  If you do not have the ability to print the forms before your initial intake appointment, please arrive 15 minutes early to allow time to complete. 


CLIENT INFORMATION FORM (pdf)Download
CONTACT PREFERENCES (pdf)Download
NOTICE OF PRIVACY PRACTICE_SHORT VERSION (pdf)Download
INTAKE FORM (pdf)Download
NOTICE OF PRIVACY PRACTICES (pdf)Download
THERAPY POLICIES (pdf)Download

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