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Licensed Clinical Social Worker (LCSW)

Certified Perinatal Mental Health Provider (PMH-C)

Certified Telemental Health Provider (CTMH)

jb@achievewellnesscounseling.com

(719) 627-3233

Client Forms

Click on the Client Portal link to sign in to complete forms electronically. You can also view and print forms below.

Forms: Text

Client Information and Disclosures

Disclosure Statement

Notice of Privacy Practices

COVID-19 Disclosure

Surprise Billing Disclosure

Good Faitth Estimate

Forms: List

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