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Main Street Counseling Center Sheri Golly, LCSW Client Release Of Information Client Name: DOB: I understand by signing this form, I am allowing Main Street Counseling Center, LLC and Sheri Golly,
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Obtain the necessary documents such as identification, insurance information, and any previous medical records.
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Contact the main street counseling center to make an appointment or inquire about their walk-in policy.
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Arrive at the counseling center at the scheduled time or during the designated walk-in hours.
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Fill out the initial patient forms provided by the center, providing accurate and complete information.
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Pay any fees or charges associated with the counseling services, if applicable.

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Main Street Counseling Center is a mental health counseling center that provides therapy services to individuals, families, and couples.
Main Street Counseling Center is required to file taxes with the IRS.
Main Street Counseling Center can fill out the necessary tax forms using accounting software or with the help of a professional tax preparer.
The purpose of Main Street Counseling Center is to provide mental health support and guidance to those in need.
Main Street Counseling Center must report income, expenses, and any other financial information relevant to their business.
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