Gail A. Bills LCSW

 


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Grief Recovery Therapy

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Contact Me:

(503) 860-9276

e-mail


 
 

Forms

If you wish, you may print off and complete the following client registration forms in advance, or I will provide them to you when you arrive for our first meeting.

 

    Client Registration Form

    Client Questionnaire

    Privacy Practices Consent Form  (To be signed after reviewing my Privacy Practices document below)


 

Information

 

    Notice of Privacy Practices - Long version

    Notice of Privacy Practices - Brief Version

    What to expect in your first counseling session


Note: To download Adobe Acrobat Reader for free, click here.

 

Gail A. Bills, LCSW   •   189 Liberty St NE, Suite 203B   •  Salem, Oregon  •   97304

503-860-9276    •    email

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