Blue Ash Counseling Center

Blue Ash Counseling CenterBlue Ash Counseling CenterBlue Ash Counseling Center

Blue Ash Counseling Center

Blue Ash Counseling CenterBlue Ash Counseling CenterBlue Ash Counseling Center
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Client INTAKE FORMS

Download our client intake forms and return them below before your appointment. 

Patient Information Sheet (docx)Download
Fee agreement-consent (docx)Download
Adult History (docx)Download
Notice of Privacy Practices Receipt (docx)Download
Good faith estimate (docx)Download
Hippa_explanation (pdf)Download

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Blue Ash Counseling Center

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