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Page 1of 2 COUNSELING CENTERS OF TEXAS TM CONSENT FOR RELEASE OF INFORMATION Client Information Name Date of Birth Address City State Zip Code Phone Number Clinic×Health Care Provider Who has the
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How to fill out counseling centers Texas TM:

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BCounseling Centers Texas TM is a program designed to provide counseling services in the state of Texas.
Counseling centers in Texas are required to file BCounseling Centers Texas TM.
To fill out BCounseling Centers Texas TM, counseling centers should follow the instructions provided by the Texas Department of Counseling.
The purpose of BCounseling Centers Texas TM is to ensure that counseling centers in Texas are providing quality counseling services.
Counseling centers must report information such as number of clients served, types of counseling services provided, and any complaints received.
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