Intake Form 2011.docx
Please click the icon above to download the PDF version of our intake form. We ask that you print it out and fill in the information prior to your arrival. This will save time in the process of establishing your first counseling session.
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Thank you for visiting our site. If you have any questions or need help in any way, please don't hesitate to contact us. You may call us or use the contact page in the staff section of this website. God has given me a passion to help those whom He loves and has a plan for. Thank you.
In His Love,
Martha Sullins