Inner Balance Counseling LLC

Disclosure statement
Child history
Informed Consent
Financial
Agreement
Release of
Information
If you are a new client, please complete the following forms and bring them to your first therapy session.
 
 
 

 

 

 

 

If you would like me to coordinate care with another provider (ie: psychiatrist, primary physician, school staff), complete this form.

 
 
 
 
 
 
 
 
 
 
 

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