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CORNERSTONE OF HOPE CHILD/TEEN CLIENT INTAKE PAPERWORK Demographic / Background Information Date: Child's Name (First and Last): Address: City/Zip: Date of Birth/Age: Month Day Year Gender:Age Referral
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New Hope Counseling Center is a mental health facility that provides counseling services to individuals in need.
New Hope Counseling Center is required to be filed by the owner or operator of the facility.
New Hope Counseling Center can be filled out online or in person at the facility, providing all necessary information requested.
The purpose of New Hope Counseling Center is to provide mental health support and counseling services to those seeking help.
Information such as contact details, services offered, staff qualifications, and hours of operation must be reported on New Hope Counseling Center.
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