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Impact Counseling & Guidance Center Adult Intake Form Date: ABOUT YOU Name: DOB: Age: Gender: M/F Race/Ethnicity: Street Address: City: State: Zip: Contact Information: Home# May we leave a message?
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Impact counseling amp guidance is a program that provides support and guidance to individuals facing various challenges.
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The information required on impact counseling amp guidance may include personal details, challenges faced, counseling sessions attended, and progress made.
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