Fountain City Counseling LLC
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Please print the first form, complete and bring to your appointment.  In the event that we will need to disclose session information to a third party, please print the third form, sign and bring to your appointment.  (for example, court ordered counseling, GAL recommendations, family doctor update, etc...)  We will go over the second form at your first appointment.  You will be given a copy at that time.

client_informed_consent_-_updated_12-2018.pdf
File Size: 111 kb
File Type: pdf
Download File


client_release.pdf
File Size: 34 kb
File Type: pdf
Download File

client_demographic_sheet.pdf
File Size: 94 kb
File Type: pdf
Download File

pc_informed_consent.pdf
File Size: 87 kb
File Type: pdf
Download File

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