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PeaceWay Counseling and Mediation Services Inc. 2405 Bemiss Road Valdosta GA. 31602 Client Intake Form Client Name First Middle Last Date of Birth // Social Security Number -- Marital Status Male Female Street Address City State Zip Home Phone Cell Work Employer Email Work Address If Client is a minor do you have legal custody Yes No If divorced has either parent had their parental rights terminated Legal Guardian s Name Relationship to Client Is Client a full time student Name of school...
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What is peaceway counseling and mediation?
Peaceway counseling and mediation is a service that provides counseling and mediation sessions to help individuals or groups resolve conflicts peacefully.
Who is required to file peaceway counseling and mediation?
Individuals or groups who are involved in a conflict and wish to resolve it through counseling and mediation sessions are required to file for peaceway counseling and mediation.
How to fill out peaceway counseling and mediation?
To fill out peaceway counseling and mediation, individuals or groups can contact a peaceway counseling and mediation service provider and schedule an appointment for counseling and mediation sessions.
What is the purpose of peaceway counseling and mediation?
The purpose of peaceway counseling and mediation is to help individuals or groups resolve conflicts in a peaceful and constructive manner.
What information must be reported on peaceway counseling and mediation?
Information such as names of the parties involved, nature of the conflict, dates of counseling and mediation sessions, and outcomes of the sessions must be reported on peaceway counseling and mediation.
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