Michele M. Freeman   
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FORMS

  Adult Checklist of Concerns PDF
Client Information   PDF
  Consent for Treatment   PDF
  Counselor Disclosure Statement   PDF
  Notices of Privacy Practices   PDF
  HIPPA Authorization Form   PDF
  Permission to Bill Insurance Company   PDF


Email Me

Michele M. Freeman MS NCC LPC
354 NE Greenwood Av., Ste 207
Bend OR 97701
541-408-4943