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North State Family Counseling Center, Inc.

FORMS

 

Privacy Practices

Privacy Practices signature page

 Informed Consent and Practice Policies

Client Intake form

Intake Questionnaire

Consent to Treat a Minor

Collateral Contact form

No Secrets Policy- for Couples and Family Therapy

Group Confidentiality Agreement

Telehealth Consent Form

Release of Information

Good Faith Estimate Table of Services and Fees

 


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© 2020 North State Family Counseling Center, Inc.3330 Churn Creek Rd, Suite D4, Redding, CA 96002(530) 768-1188 Phone(530) 768-1198 Faxinfo@northstatecounseling.com
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