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    info@mpathtowellbeing.com | 530-638-0269
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    Forms

    Please be sure to download the below forms, complete, and submit as attachment through info@mpathtowellbeing.com before your first session if you are new to working with me.  This will help facilitate our quickly connecting and allow as much time as possible for us to focus on you and your presenting issue (s).  These forms need to be completed for group attendance as well as for individual, couples, or family counseling sessions.

    NOTE:  Disclaimer: The current email address is not HIPAA secure.  It is not likely health related information will be compromised if sent via the email offered.  If you prefer, you can hand carry completed forms to the first session.

    Client Intake

    Client Information

    Group Participant In-take form

    Authorization for Release of Information

    Limits of Confidentiality

    In Person and Online Services

    Make an Appointment

    2051 Hilltop Dr. Suite A-17C
    Redding, CA 96002

    530-638-0269
    info@mpathtowellbeing.com
     

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    Michael Stephens
    info@mpathtowellbeing.com | 530-638-0269

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