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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!

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 

(503) 704-3759

diane@choosingwellnesscounseling.com

Contact
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