248.880.8041

EMBERLEY COUNSELING COACHING

Patty Emberley MA LMHC MA 10620,

LMFT CA 41748, WI 1365-124, MI 4101006642, LPC MI 6401014812, OR C1344, TX 17146

If you're a new client, please complete the following forms and bring them to your first therapy session.

 
If you would like me to coordinate care with another provider, such as your psychiatrist or family physician, please complete the following form to authorize the release of your therapy information:
      *   Release
 
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HELPFUL FORMS

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