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An HDR protograph of the The House of Fire Native American ruins in San Juan County, Utah

Forms

We pride ourselves on being great Christian Counselors, not paper-pushers. No one likes paperwork so we try to keep ours to a minimum. Below are the essentials. Please print, complete, and bring them to your first appointment.

Client Information Form
HIPAA Consent and Disclosure
HIPAA Notice of Privacy Policies

Contact

605 NE Woods Chapel Rd, Suite B

Lee's Summit, Missouri 64064

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Tel: 816.272.0653

Fax: 816.886.6242

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'O afflicted one, storm-tossed and not comforted, behold, I will set your stones in antimony, and lay your foundations with sapphires.' - Isaiah 54:11

© 2024 by Genesis Counseling, LLC. Christian Counselors extraodinaire. All Rights Reserved.

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