Online Forms
If you prefer to complete the full background form online, note that it can only be completed through Google forms, which requires a Google account. You will also be provided with a paper copy of the form at your first visit.
**If completing this form online, please know that it is filed with Google Forms which, though it is secure and double password protected, is not guaranteed to meet HIPPA (Health Insurance Portability & Accountability Act) guidelines for online security. Once you have completed and submitted it, I will print a copy and delete the online form.
**If completing this form online, please know that it is filed with Google Forms which, though it is secure and double password protected, is not guaranteed to meet HIPPA (Health Insurance Portability & Accountability Act) guidelines for online security. Once you have completed and submitted it, I will print a copy and delete the online form.
Other Informational Forms:
-- -- Walk With Me Counseling, LLC -- --
528 Hennepin Ave
Minneapolis, MN 55403
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