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    5505 Indian River Rd, Ste 100 | Virginia Beach, VA 23464
    connect@vbcounselingservices.com | (757) 289-1125

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you. If you do not complete these forms and bring them to the first session, you will need to plan to arrive 20 minutes ahead of your appointment time so that you have ample time to complete the paperwork.

    In additional to completing the paperwork below, you will be asked to complete a few brief forms on site at the first session.

    Client and Family Health Questionaire

    Child and Adolescent Questionaire

    Patient Health Questionaire

    Telehealth Liability Form

    Policies and Procedures (for you to keep)

    Booklet Signature

    Client Bill of Rights

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

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    5505 Indian River Rd, Ste 100
    Virginia Beach, VA 23464

    (757) 289-1125
    connect@vbcounselingservices.com

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    Virginia Beach Counseling Services
    connect@vbcounselingservices.com | (757) 289-1125

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    • Clinicians
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    • Getting Started
      • FAQs
      • Rates and Insurance
      • Client Forms
      • Appointment Request
    • Resources
      • Mental Health Links
    • Job Opportunities