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    509 E. Byron Nelson Blvd Suite B | Roanoke, TX 76262
    Jimmy@BecomerCounseling.com | (817) 966-1446

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Packet

    Professional Disclosure Statement And Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

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    509 E. Byron Nelson Blvd Suite B Roanoke, TX 76262

    (817) 966-1446
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    Becomer Counseling Services
    Jimmy@BecomerCounseling.com | (817) 966-1446

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