Forms

Please complete this packet in it's entirety and be sure to sign and date each section.  Bring the completed packet to our first session.  This information is necessary to provide the best treatment for you.

These documents answer frequently asked questions about the telehealth process. The Telehealth consent form is required for telehealth services.

© 2020 Vicci Phillips Counseling. All Rights Reserved.

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1414 W Lexington Ave, Suite B

Winchester, KY  40391

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