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CLIENT INFORMATION SHEET Charlotte Therapy Associates Diane Yes, MS, LPC 5200 Park Rd, Suite 219 Charlotte, NC 28209 Important information in order for me to work with you: NAME×1): NAME×2): ADDRESS:

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2. Fill out the personal information section accurately. Provide your full name, contact details, and any other relevant information as required.
3. In the educational background section, include details about your academic qualifications, such as the schools you have attended, degrees earned, and any certifications or specialized training you have completed.
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8. Sign and date the application form where required. This indicates your consent and agreement to the information provided.

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1. Individuals interested in pursuing a career in counseling or therapy may need the services of Diane Yee MS LPC. This could include people who are seeking professional guidance and support for their mental health or emotional well-being.
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Diane Yee MS LPC is a licensed professional counselor who provides mental health services.

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To fill out Diane Yee MS LPC paperwork, individuals must provide accurate information about their mental health history, current concerns, and personal details.

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The purpose of Diane Yee MS LPC is to provide mental health counseling and support to individuals seeking help with their emotional well-being.

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Information that must be reported on Diane Yee MS LPC includes personal details, mental health history, current concerns, and any relevant medical information.

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