Sagebrush Harbor Counseling, PLLC

 

Lisa Herr MSW, LICSW 

Psychotherapist    

Phone:  (509) 469-2160            Fax: (509) 972-3334         Yakima, Washington

 

 

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INTAKE INFORMATION
AND PAPERWORK:

Counseling Contract

Agreement for Parents

Adult Client Personal Information

Child Developmental History

Child Checklist of Characteristics

Client and Therapist Responsibilities

Young Adult Form

 

 

 

 



  

  

 

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Larson Building, 6 S. Second St., Suite 413, Yakima, WA   98901 

 

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