Counseling Centers of North Puget Sound 


Forms for your first appointment with Kim Rodgers

What to do:
1)  Start by looking at the 2nd column (ALL CAPITALIZED).  
2)  Select each of these forms as they apply to your situation.  
3)  Download, Print, and complete them.  
4)  Bring them in for your appointment.  

Thank you.
 
 Kim Rodgers
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
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ALL PATIENTS. Complete and sign.   643k v. 1 Feb 28, 2019, 9:21 AM Douglas Chandler
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ADULT PATIENTS  94k v. 1 Feb 28, 2019, 9:16 AM Douglas Chandler
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FOR YOUTH ONLY  3205k v. 1 Feb 28, 2019, 9:16 AM Douglas Chandler
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ALL PATIENTS. Complete, initial, and sign.   1433k v. 1 Mar 12, 2019, 2:33 PM Douglas Chandler
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ALL PATIENTS. For you to download and keep.  696k v. 1 Feb 28, 2019, 9:20 AM Douglas Chandler
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ALL PATIENTS: Complete and sign.  136k v. 1 Feb 28, 2019, 9:21 AM Douglas Chandler
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INSURED PATIENTS ONLY  30k v. 1 Feb 28, 2019, 9:16 AM Douglas Chandler