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JIM BEGLEY
PASTORAL COUNSELOR

Individual Session Forms:
(You will need the following 3 forms)

Client Information

HIPAA-Individual

Consent Form- Individual

Couples Session Forms:
(You will need the following 4 forms)

Consent Form- Couple

Confidentiality Form

Client Information

Child / Adolescent Session Forms:
(You will need the following 5 forms)

Client Information - Child

Confidentiality Form- Child

Client Information - Parent

Consent Form- Child

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