Walter Mehring LPC: Relationship, premarital, Marriage, Family and Individual Counseling
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Paperwork: If you get this done before you come, it will save session time:

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  Please "click" on the form name to access it. Print out a copy. Fill each out and bring them with you to our first session.

  1) Billing Information: Please include your "Authorization Number" (Get this from your insurance company.)
  2) Counseling Contract
  3) HIPPA Information and Signature Page: Please look over the HIPPA information. Then download and sign the Signature Page at the end.
  4) Information Release Form (if you want me to talk to someone else.)

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