P: 541-326-0848 | E: info@commensa.org

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Home Forms

Leonid_PasternakThe downloadable  forms below are reserved for new clients who are unable to access our online registration service:

  1. Client Information
  2. Checklist of Concerns
  3. Consent to Use and Disclose Your Health Information
  4. Confidentiality in Therapy
  5. Notice of Privacy Practices
  6. Consent for Transmission of Protected Health Information by Non-Secure Means

You may also wish to read our Communications Policy.

Commensa Counseling & Coaching
320 East Main Street, #208, Ashland, OR 97520
541-326-0848
  • Home
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  • Telehealth
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