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The Counseling Place
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    • Home
    • Our Staff
    • Services
      • Individual Counseling
      • Couples Counseling
      • Family Counseling
      • Children's Counseling
    • New Clients Forms
    • Contact Us
The Counseling Place
  • Home
  • Our Staff
  • Services
    • Individual Counseling
    • Couples Counseling
    • Family Counseling
    • Children's Counseling
  • New Clients Forms
  • Contact Us

New Client Forms

Adult Intake (docx)Download
Adult Symptom Checklist (pdf)Download
Child Intake (pdf)Download
Child Symptom Checklist (pdf)Download
Telemental health Informed Consent (pdf)Download
Julie McCune Consent to Treat (pdf)Download
Heidi Shirley Consent to Treat (pdf)Download
Credit Card & Copay Forms (pdf)Download
Notice of Privacy Practices (pdf)Download

Contact Us

The Counseling Place

2207 Freeport Road, Natrona Heights, Pennsylvania 15065, United States

(724) 224-3031 (phone) (724) 224-3383 (fax)

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