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I authorize DaySpring Counseling to apply for insurance benefits and for all payments to be rendered for covered services rendered by one of the following counselors Melissa Yoak LPCC Deborah Sands LPCC Nora Cord LPCC Mark Kurcsak LPCC Michael Johnson LPCC or Jennifer Vasquez LPC. HIPAA NOTICE This serves as an acknowledgement that you have received notification regarding HIPAA from DaySpring Counseling LLC. Every mental health professional in DaySpring Counseling LLC. is bound by the same...

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