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Intake Forms

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New Client Intake Forms

Once you have schedule your first appointment, please review and complete the following forms prior to your scheduled appointment.

New Client Intake (Adult)
New Client Intake (Child)
Release of Information
Privacy Practices - HIPPA

9500 Brooktree Rd Suite 104
Wexford, PA 15090

412-525-6594 (call or text)
room2growcounseling@gmail.com