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Resources

Forms:

Benevolent Counseling Form

Couples Intake Form

Individual Intake Form

Minor Intake Form

Notice of Privacy Practies

Confidentiality Release

Insurance Information

 


Counseling Available By Appointment
10091 Streeter Road Suite 1 • Auburn, CA 95602 • Phone: 530.268.1355 • Fax: 530.268.8156
© 2010 Selah Counseling Services