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Road to Healing Counseling

Trauma Treatment is a Journey to Reclaim Your Story

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Please review and complete these forms prior to your initial visit.

Adult Intake Interview

Child/Adolescent Intake Interview

Release of Protected Health Information

Consent for Care Agreement

Custody/Access Dispute Contract

Financial Agreement

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Telehealth Informed Consent

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Road to Healing Counseling

1345 East 3900 South, Suite 104

Millcreek, UT 84124

(801) 441-8943

[email protected]

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