Samantha Becker Counseling, LLC

Samantha Becker Counseling, LLCSamantha Becker Counseling, LLCSamantha Becker Counseling, LLC

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Samantha Becker Counseling, LLC

Samantha Becker Counseling, LLCSamantha Becker Counseling, LLCSamantha Becker Counseling, LLC

Home
About
Contact
Forms

Client Forms

Disclosure & HIPAA (pdf)Download

Child Intake Form (pdf)Download

Adolescent Intake Form for Parents (pdf)Download

Adolescent Intake Form for Adolescent (pdf)Download

Client Consent to Contact (pdf)Download

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