New Client Forms

 

Child Intake Form

Must be filled out for anyone under 18

DSM Age 6-17

Used as a diagnostic tool for our therapists working with minors

DSM Adult Form

Used as a diagnostic tool for our therapists working with adults

Kara Windsor MA, CTS, PCC/S

Important information for clients who will be working with Kara

Sansanee Longbreak MA, LPCC, LICDC

Important information for clients who will be working with Sansanee

Bonnie Crowe MA, NCC, LPC

Important information for clients who will be working with Bonnie

Erinn Smith MA, LSW

Important information for clients who will be working with Erinn

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(419) 448-4094

(419) 448-4095

777 S Washington St, Tiffin, OH 44883, USA

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