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Client Forms

Professional Disclosure Statement

Child/Adolescent Information Form

Prior to our first appointment, please review, print and sign the Professional Disclosure Statement and relevant information form. Thank you!

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Start your new path in life and be the change today!

Click here to view and print forms for your appointment.

Diane Gans, MA, LPC

Psychotherapist 

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(503) 704-3759

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diane@choosingwellnesscounseling.com

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Contact
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