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AUTHORIZATION FOR RELEASE OF INFORMATION Clients Name:___ DOB:___ I hereby authorize Atlanta Innovative Counseling Center, LLC (AICC) and my provider to release, obtain, or exchange information about
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ContactAtlanta Innovative Counseling Center is a mental health service organization that provides a variety of counseling and therapeutic services aimed at enhancing emotional well-being and personal growth.
Individuals seeking mental health counseling or therapy services at ContactAtlanta Innovative Counseling Center may be required to file necessary documentation and assessment forms as part of the intake process.
To fill out the ContactAtlanta Innovative Counseling Center documentation, individuals typically need to provide personal information, family history, mental health history, and any other relevant information as requested in the forms provided during the intake process.
The purpose of ContactAtlanta Innovative Counseling Center is to provide mental health support, therapeutic services, and resources to individuals looking to improve their mental health and cope with various challenges.
Information that must be reported on the documentation may include personal demographics, reasons for seeking counseling, mental health history, and any previous treatment or therapy received.
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