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The Counseling Collaborative Dawn Nuding, LCPC, ATR PO Box 314 1 Dewey Street Hulls Cove, ME 04644 (207)2883388Authorization for Disclosure of Protected Healthcare Information Client Name: ___ Date:
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Provide the necessary information about the counseling services you are seeking and the collaborative you are affiliated with.
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Form Counseling Collaborative Bar Harbor is a document used for reporting and evaluating counseling services within a collaborative initiative aimed at providing comprehensive support to individuals or families.
Organizations and professionals involved in providing counseling services within the Bar Harbor collaborative are required to file this form.
To fill out the form, gather all required information about the counseling services provided, including client details, session dates, and outcomes, and ensure to follow the provided instructions carefully.
The purpose of the form is to track the effectiveness of counseling services, report progress, and ensure accountability within the collaborative initiative.
The form must report information such as client demographics, types of services provided, session details, outcomes, and any relevant statistics.
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