INTAKE FORMS FOR INDIVIDUAL AND COUPLES/RELATIONSHIP THERAPY
INDIVIDUAL COUNSELING INTAKE FORM
This form is for enrolling in Fran's Individual Counseling Program. When completed please sign it, scan it and return it to Fran at francis.bax.lmhc@gmail.com
Once completed and submitted, a Rights and Responsibilities Document will be sent to you for your review, signature and submission and an intake session will be scheduled!
Thank you!
COUPLES AND RELATIONSHIP COUNSELING INTAKE FORM
This form is for enrolling in Fran's Couples/Relationship Counseling Program. When completed please sign it, scan it and return it to Fran at francis.bax.lmhc@gmail.com
Once completed and submitted, a Rights and Responsibilities Document will be sent to you for your review, signature and submission and an intake session will be scheduled!
Thank you!
FRAN'S BROCHURE
If you know anyone who wants to know more about Peace, Love, and Counseling by Fran, download and share this with them!
Copyright © 2024 Peace, Love and Counseling by Fran - Francis A. Bax, MS, LMHC, LPC, CASAC - All Rights Reserved!
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