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FORMS

Please download, print, and complete each of the following forms corresponding to the counselor you have made an appointment with.

 

Jeff Borchers, MS, PhD, NCC

1. Client Information

2. Adult Checklist of Concerns

3. Consent to Use and Disclose Your Health Information

4. What You Should Know about Confidentiality in Therapy

5. Notice of Privacy Practices (Brief Version)

 

 

 

 

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