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Intake Questins

Intake Questions

If you have not already contacted the office, please call 509-891-7867 before completing this form
This form does not have any identifying information besides your birthday. 

Thank you for taking the time to fill out the information below. 

We have therapists on site. Would you be willing to see our counselors?
If you become a patient with us, you consent to allow us to access your last 12 months of perscription history.
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