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INTAKE INFORMATION SHEET Anne Emmett LCSW 516 SE Morrison, Suite 500 Portland, Oregon 97214 Phone: 5032382405NAME: DATE OF BIRTH: PREFERRED PRONOUNS: ADDRESS:CITY/STATE/OPCODE:PHONE: May a message
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Anne Emmett LCSW refers to a licensed clinical social worker by the name of Anne Emmett, who may be involved in providing mental health services and support.
Individuals seeking mental health services from Anne Emmett LCSW or potentially social service agencies may be required to file necessary documentation or forms depending on their circumstances.
To fill out forms related to Anne Emmett LCSW, provide personal details, insurance information, and any relevant medical or psychiatric history as guided by the specific forms.
The purpose of Anne Emmett LCSW is to provide mental health services, therapeutic support, and counseling to individuals in need of such services.
Information that must be reported typically includes client identification details, session notes, treatment plans, and any other relevant data required for mental health care documentation.
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