Debbie O’Berry, Licensed Professional Counselor; Certified Advanced Addiction Counselor
3827 W. Howell Road Mason, Michigan 48854 517-256-6751

All of the following forms must be filled out and returned to Branch Counseling.  You can print them, and fill them out and bring them with you to your Intake Session.

If you are comfortable doing so, there are also a few online resources to fill your form out online and and email it to   Hello Sign  , PDFFiller , and  Docusign are just a few.

{Click on the links to open / download them to your computer} 

Patient Release Form

Professional Disclosure Statement

Billing Intake Release

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