Mary Beth Harper, LMFT, LPC
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Forms

Please find below sample forms utilized in the process of counseling. The Informed Consent Form is completed by all new clients. Intake forms are sent electronically through a HIPPA compliant portal system called Simple Practice.  Other forms are utilized as appropriate to the counseling focus.
informed_consent.pdf
File Size: 399 kb
File Type: pdf
Download File

couple_agreement.pdf
File Size: 116 kb
File Type: pdf
Download File

parent_consent.pdf
File Size: 92 kb
File Type: pdf
Download File

release_of_information.pdf
File Size: 94 kb
File Type: pdf
Download File



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  • Home
  • Biography
  • Services
  • Contact
  • Location
  • Office Photos
  • Forms
  • Helpful Links