Counseling Resources Sign-in

MEDICAID ONLY: All participants must sign their name in the signature field below.

If you do NOT HAVE MEDICAID, skip below and touch the photo of your therapist to notify them of your arrival.



    Date

    Client and Participant Signatures

    Please Click Send Twice Then Notify Your Therapist Below

    • Touch Your Therapist’s Picture to Notify Them of Your Arrival.

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