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Counseling and Mediation Solutions LLC

Debra Nelson, MA LMFT 651-307-4993
Thank you for providing the following information. Please download and print necessary documents and bring them with you to your first visit. We look forward to meeting you!
Informed Consent Form
Intake Form
Adult Information Form
Child Intake Form
HIPPA
Consent to Consult

Private Pay
Biofeedback Informed Consent
Tele - Behavioral
Health Agreement
Release of Information
Electronic Communication and Billing Communication

Adobe PDF Documents can be downloaded and completed on your computer then printed.
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