Inspired Mind Counseling
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Please download and complete these documents 48 hours prior to your initial appointment. Please email them to me at imclmft@gmail.com. Only sign the Release of Information form *if* you'd like me to share your information.  Thank you!
intake_forms_v12102021_.pdf
File Size: 348 kb
File Type: pdf
Download File


intake_espanol_v12102021.pdf
File Size: 312 kb
File Type: pdf
Download File

Inspired Mind Counseling
Madeleine Burkhart, MS, JD, LMFT 

(925) 528-1363

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