OUR FORMS
When directed by our counselors, please print, complete, and return.
Consent to treat minor in Out-Patient Treatment
When directed by our counselors, please print, complete, and return.
Consent to treat minor in Out-Patient Treatment
1000 Market St Suite 41 Bloomsburg, PA 17815
Phone: 570-204-7113
Fax: 570-543-4962
robin@familynestcounseling.com
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