Tlcmentalhealth.com

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Individual, Family & Couples Therapy

WebWith compassion and understanding, we help you find resolution to a wide range of personal concerns and psychological difficulties. Request Appointment. Contact Me. …

Actived: 2 days ago

URL: https://www.tlcmentalhealth.com/

Contact Us: Therapy for Children, Therapist for Marriage and …

WebTo schedule consulting, assessment, or psychological testing services, as well as, individual, children, couples, marriage or family therapy appointments, please fill out the form below …

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Services Provided: Couples Counseling

WebCouples Therapy. Couples Therapy is also referred to as Marital Therapy or Marriage Counseling. When couples seek professional help, they have likely been living with their …

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Helpful Forms: Therapy Counseling and Psychotherapy

Webform and fax it to our office at 866-372-5885. For all individuals requesting psychological testing services, Prior to the date of service, please complete the following forms and …

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Eating Disorders Assessment / Bariatric PreSurgical Evals

WebEating Disorder Assessment . Dr. LeDay is an expert in Eating Disorders treatment, having worked in the field for over 10 years with women and men of all ages. Dr. LeDay can …

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Links & Resources: Mental Health Care and Counseling Adult …

WebTransformative Life Center 200 W Matthews St. Matthews, North Carolina 28105 704-927-5885 [email protected]

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Appointment Request

WebWhich location is your preference? 200 W. Matthews Street, Matthews, NC 28105 5701 W. Slauson Avenue, Suite 100, Culver City, CA 90230: We will do our best to accomodate …

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Contact Transformative Life Center Therapist, Psychotherapist …

WebSpecializing in services for males and females ages 11-75 suffering from Eating Disorders. Partial Hospitalization and Intensive Outpatient Program for Eating Disorders. To learn …

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Make a Payment: Therapist Payment Information Relationship …

WebYou can call TLC Business Office at 800-257-3627 and pay directly with VISA, MasterCard, Discover or AMEX.

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Privacy & Policy: Therapy Privacy Policy

Webnotice of policies and practices to protect the privacy of your health information this notice describes how psychological and medical information about you may be used and …

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CONSENT FOR TREATMENT OF MINORS a TLC CLINICIAN will …

Web3719 Latrobe Drive, Suite 850, Charlotte, NC 28211 11600 N. Community House Road, Suite 125, Charlotte, NC 28277 Phone: (704) 927-5885 Fax: (866) 372-5885

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Authorization for Use or Disclosure of Protected Health …

WebAuthorization and Signature I authorize the release of my confidential protected health information, as described in my directions above. I understand that this authorization is …

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Consent for Treatment

WebCancellation Policy If you are unable to attend an appointment, we request that you provide at least 24 hours advanced notice to our office. Since we are unable to use this time for …

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TRANSFORMATIVE LIFE CENTER, LLC. BIOPSYCHOSOCIAL …

WebPatient name Patient ID# Patient SS# Date Page TRANSFORMATIVE LIFE CENTER List any medications currently being taken (give dosage & reason): [ ] other chronic or …

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3719LatrobeDrive,Suite850,Charlotte,NC28211

Web2" Transformative Life Center, LLC.Office Policies & Procedures! NOTICE OF POLICIES AND PRACTICES TO PROTECT THE PRIVACY OF YOUR HEALTH INFORMATION …

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Rose!LeDay,!Ph.D. Client Psychological Evaluation Referral

WebPsychologicalTestingReferral!!! 3TransformativeLifeCenter,LLC.! ! 11600N.!Community!HouseRoad,#125,Charlotte,NC28277&3719LatrobeDrive,Suite850,Charlotte,NC28211! !

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AUTHORIZATION TO RELEASE INFORMATION

Web3719 Latrobe Drive, Suite 850, Charlotte, NC 28211 11600 North Community House Road, Suite 125, Charlotte, NC 28277 Phone: (704) 927-5885 Fax: (866) 372-5885

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TLC PATIENT REGISTRATION FORM 09022010

WebTitle: Microsoft Word - TLC PATIENT REGISTRATION FORM 09022010.docx Author: ROSE LEDAY Created Date: 5/2/2011 5:03:02 PM

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