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Be Intentional.
Be Your Change.

Be Intentional. Be Your Change. Be Intentional. Be Your Change. Be Intentional. Be Your Change.

Be Intentional.
Be Your Change.

Be Intentional. Be Your Change. Be Intentional. Be Your Change. Be Intentional. Be Your Change.
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    • Home
    • Let's Journey
    • Services
    • Young Adults
    • 1st Responders & Family
    • Educate. Inspire.
    • Online Forms
    • Contact Us
  • Home
  • Let's Journey
  • Services
  • Young Adults
  • 1st Responders & Family
  • Educate. Inspire.
  • Online Forms
  • Contact Us

Online Intake Counseling Forms

Consent, policies no in (pdf)

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HIPPA (pdf)

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BIOPSYCHOSOCIAL INTAKE ASSESSMENT (pdf)

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Auth of release of info (pdf)

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Are you a 1st Responder, Military Vet, or Crime Survivor?

First responder and crime survivor counseling services are available to all law enforcement, jailers, dispatchers, fire fighters, EMS personnel, health care workers, crime survivors, and their family members . 

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