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Below are links to the forms you will need for your first counseling session. Please print and complete the necessary forms and bring them to your counseling session.
- Adults should complete the Client Information Form-Adult.
- When bringing children, complete the Client Information Form-Child.
- Couples should each complete the Client Information Form-Adult.
- Each person should complete the Declaration Statement and HIPPA Privacy Notice .
- The Consent to Release Information should be completed if Dr. Belaire needs records from another professional (i.e. counselor, doctor, teacher, attorney, etc...).
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Initial Counseling Session
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Separation and Divorce Recovery Group
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