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Anne Rodin MHC (585) 3641744 creative paths' outlook.com www.creativepaths.comNEW CLIENT INTAKE AND CONSENT Formulaic Name: Date of Birth or Age: Address: Phone Number/s: Email Address and other Contact
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To fill out Anne Rodic LMHC form, follow these steps:
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Start by entering your personal information, such as your full name, date of birth, and contact details.
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Provide your current address, including the street, city, state, and zip code.
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Indicate your gender and marital status as requested.
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Include your insurance information, such as the name of your insurance company and your policy number.
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Specify your primary reason for seeking therapy or counseling from Anne Rodic LMHC.
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Anne Rodic LMHC is a Licensed Mental Health Counselor (LMHC), therefore individuals who may need her services include:
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- Couples or families seeking relationship or marriage counseling
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Anne Rodic LMHC refers to a Licensed Mental Health Counselor named Anne Rodic, who is trained to provide mental health services.
Individuals seeking mental health services or practitioners needing to report their services may be required to file under the guidelines set by Anne Rodic LMHC.
Filling out the Anne Rodic LMHC form involves providing personal information, diagnosis details, treatment plan, and progress notes as required.
The purpose of Anne Rodic LMHC is to offer mental health counseling services to individuals and provide a framework for reporting and documentation.
The information that must be reported includes client details, referral sources, treatment goals, session notes, and any assessments conducted.
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