Bellingham Family Counseling, PLLC
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  • Home
  • Consultation
  • Services
    • Couples Counseling
    • Anxiety and Depression
    • Grief Counseling
    • Trauma
    • Christian Counseling
  • FAQ
  • Scheduling and Fees
    • Fees
    • Insurance
  • About Me
  • Contact Me
  • Location
  • Resources
  • COVID-19 Policy
  • Contact Me
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YOUR CART

Welcome to Bellingham Family Counseling

Forms to Complete

Notice of Privacy Practices
This document provides you with important information about Bellingham Family Counseling’s policies and practices in keeping with the federal Health Insurance Portability and Accountability Act (HIPAA). Please sign this form in recognition of receipt of this document and bring it to your first appointment
Print and sign
npp.docx
File Size: 35 kb
File Type: docx
Download File

Intake Forms
This document provides important information related to your physical and mental health history. Please fill it out and bring it to your first appointment
Print and sign
updated_intake.docx
File Size: 39 kb
File Type: docx
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Professional Disclosure
This document summarizes my training, credentials, and cancellation policies.  It reviews the limits of confidentiality. This document will need to be signed before the start of our first session.
                        ​  Print and sign                  
disclusre_updated_2019.2020.pdf
File Size: 154 kb
File Type: pdf
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​Sliding Scale Fee Schedule and Application  

​Forms to Reference

bellingham_family_counseling_discount_schedule_information_package.pdf
File Size: 142 kb
File Type: pdf
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safety_and_care_plan.docx
File Size: 17 kb
File Type: docx
Download File

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