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Patient Information and Forms

Patient Information & Forms
  • New Patient Mental Health Intake Form

  • New Patient Registration Form  

  • Consent for Release of Records  

  • HIPAA Form  

  • Telehealth Consent Form  

  • Patient Policies and Procedures 

  • Request to see a counselor: https://valant.io/prospectivepatient/…
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Contact

3535 Park Street, Suites 108, 109 & 101B, Norton Shores, Michigan, 49444
(231) 875-6700
FAX: (231) 875-6701
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