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Ebenezer Counseling Services Child / Adolescent Intake Form (If child, may be completed by adult) Date ___Parent Email: ___Name ___ Address ___ City ___ State ___ Zip___ Home Phone ___Client Cell
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Visit the Ebenezer Counseling Services Knoxville website.
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Ebenezer Counseling Services Knoxville is a mental health service provider offering counseling and therapeutic support to individuals, families, and groups in the Knoxville region.
Individuals seeking mental health support from Ebenezer Counseling Services Knoxville may be required to file relevant documents for insurance reimbursement or to comply with legal or funding requirements, depending on the service provided.
To fill out forms for Ebenezer Counseling Services Knoxville, individuals should contact the service directly for instructions and required documents, or visit their website for downloadable forms.
The purpose of Ebenezer Counseling Services Knoxville is to provide mental health counseling and support, helping individuals manage emotional, psychological, and behavioral challenges.
Information that may need to be reported includes personal identification information, health history, treatment needs, and progress reports as required by healthcare regulations.
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