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Watershed Counseling and Consultation Services Pine Spruce Branches Client Forms Image

Client Forms

After setting a meeting with Dr. Stanley, please ask which if any forms to download, complete an return via email to: jeannelstanley@gmail.com prior to your first session

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Structure Agreement Form

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HIPAA Privacy Notice

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Standard Notice: “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

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Client Payment Process 

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Release of Information Form (Note: Only needs to be completed and returned if relevant)

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Coaching clients may also be provided with screeners and tools related to Career Exploration, Resume/CV planning, Individual Talents, and ADD.

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  © Watershed Coaching & Consultation Services 2025

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