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Richard P. White, MA, MHC wintergardencounselor.com FL LIC. MH 4187 310 S. Dillard St. Suite 170 Winter Garden FL 34787 (407) 9688055CLIENT INFORMATION INTAKE FORM Today's Date: ___ Name: ___Birthdate___Age___

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What is business-pediacomexplorefloridarichard p white lmhc?

Richard P. White is a licensed mental health counselor in Florida specializing in various mental health services.

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Business owners or individuals who receive mental health services from Richard P. White.

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To fill out the form, you would need to provide information about your mental health history and treatment received from Richard P. White.

What is the purpose of business-pediacomexplorefloridarichard p white lmhc?

The purpose of the form is to document the mental health services provided by Richard P. White and track progress in treatment.

What information must be reported on business-pediacomexplorefloridarichard p white lmhc?

Information such as the type of mental health services received, the duration of treatment, and any progress made in therapy.

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