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Petunia Monchusie Online Counseling in Overland Park

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

Actived: 6 days ago

URL: https://www.healthyrecoveryoptions.com/online-counseling

Appointment Request

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

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Petunia Monchusie Links & Resources in Overland Park

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

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Authorization To Release Information

WEBAuthorization To Release Information I, _____ authorize Healthy Recovery Options and

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Home [www.healthyrecoveryoptions.com]

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

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CONSUMER AFFAIRS COMPLAINTS AND GRIEVANCES

WEBSpecializing in Assessments and Counseling 323 Poyntz Ave, Suite 101, Manhattan, KS 66502 511 South 5th St. Leavenworth, KS 66048 Tel: (913) 748-7831 | Fax.

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Petunia Monchusie Make A Payment in Overland Park

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

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Petunia Monchusie Fee Structure in Overland Park

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

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Petunia Monchusie Services in Overland Park

WEBOverland Park Office 7709 151st St Overland Park, Kansas 66223 ph: (913) 748-7831 fax: (913) 685-4614

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Services and Fees

WEBServices and Fees . The following policy statement will help clarify your responsibility in regard to receiving services, billing, and insurance.

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WEBSHORT MICHIGAN ALCOHOL SCREENING TEST NAME: (SMAST) Date: The following questions concern information about your involvement with alcohol during the

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Acknowledgement of the Confidentiality Policy

WEBAcknowledgement of the Confidentiality Policy . I acknowledge that I have read and understand the Confidentiality Policies and how the confidentiality of

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WEBAdult Version These questions refer to the past 12 months. Have you used drugs other than those required for medical reasons? Have you abused prescription drugs?

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Clients Rights Information and Orientation

WEBEach client will be given the name, address, and phone number of the department’s client’s rights monitor and be informed that the monitor may be contacted regarding a complaint …

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Email Address: Skype Profile/Address: Mobile Number for …

WEBSkype Profile/Address: Mobile Number for Call/Text: To disclose to one another any of the following Information listed below . Schedule or Reschedule Appointments Assessment …

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Notice of Privacy Practices

WEBSpecializing in Assessments and Counseling 323 Poyntz Ave, Suite 101, Manhattan, KS 66502 511 South 5th St. Leavenworth, KS 66048 Tel: (913) 748-7831 | Fax.

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