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Fran Corona, Ph.D. 5110 SOUTH YALE, SUITE 412 TULSA, OK 74135 (918) 5742722CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION, (Name of patient) (date of birth)Hereby authorize Fran Corona, Ph.D.
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Counseling Services of Tulsa provides therapy and counseling services to individuals, couples, and families.
Any individual or entity offering counseling services in Tulsa may be required to file with the appropriate regulatory body.
You can fill out counseling services of Tulsa by providing the necessary information about your practice and the services you offer.
The purpose of counseling services of Tulsa is to ensure that counseling providers are operating ethically and following all relevant regulations.
Information such as the types of services offered, client demographics, and any relevant certifications or licenses must be reported on counseling services of Tulsa.
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