Forms | hopecenter

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Intake forms

Please complete the forms below and bring them with you to your first appointment

1.

Informed Consent for Psychotherapy

2.

Hope Center for Healing Practice Policies

3.

Client Financial Responsibility Form

4.

Credit Card Authorization Form

5.

Consent for Telehealth Communication

6.

Adult Intake Questionnaire

7.

Parent Intake Questionnaire

8.

Teen Intake Questionnaire

MOBILE

Melinda Rader MS, LPC-S

251-554-6611

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