Counseling Resources

 
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1. What is your full name?
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2. Please write the complete agency name and address where you provide counseling services.
3. Please check all the types of sessions you have available.
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4. Please indicate the preferred phone number for clients to schedule appointments.
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5. What current, professional licenses do you hold?
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6. Please describe your fees per session, length of visits, and if you provide a sliding fee scale.
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7. What is the average wait for 1st appointment?
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8. Please describe all types of insurance and payments you accept.
9. Please indicate your areas of competency
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10. Please describe your training and work with individuals and families impacted by Alzheimer’s disease or other dementia's.
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