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HIPPA Receipt and AcknowledgementksaBrian2025-01-11T21:52:00-05:00

HIPPA Receipt and Acknowledgement

Adult Intake Form

Child Intake Form

Specialties

• Trauma, PTSD
• Marriage and Relationship issues
• Narcissistic Abuse Recovery
• Divorce Recovery with Children
• Anxiety

I Treat:

• Alcohol Abuse
• Anxiety
• Chronic Pain
• Codependency
• Coping Skills
• Depression
• Divorce Recovery with Children
• Domestic Abuse
• Family Conflict
• Grief
• Life Coaching
• Narcissistic Abuse Recovery
• Narcissistic Personality
• Obesity
• Parenting
• Peer Relationships
• Self Esteem
• Spirituality
• Suicidal Ideation

Client Focus:

Religious Orientation: Christian
Ages: Adolescents / Teenagers (14 to 19),
Adults, Elders (65+)

Professional Verification

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Contact Info

9100 Conroy-Windermere Road
Windermere, FL 34786

Phone: 407-612-5808

Email: [email protected]

© Olive Branch Counseling, LLC | All Rights Reserved

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