A Place to Heal & Grow
A LIFE CHANGING APPROACH TO REBUILDING THE SPIRIT
A Place to Heal and Grow
  • Welcome
  • About
    • About Catherine
    • About Ray
  • What We Offer
    • Individual Counseling: Healing & Growing
    • Adult Trauma
      • Adverse Childhood Experience—ACE
    • Child/Adolescent Counseling
      • Child/Adolescent Attachment Trauma
      • Adolescent Concerns
    • Couples Counseling
    • Expressive Arts for Healing & Insight
      • Activities for Healing and Insight
  • Video Therapy
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Forms

CLICK – PRINT – SIGN – FAX BACK

Fax: 828.890.8340

  Consent to Treat Via Tele-therapy (File Size: 306.7 KiB)

  Consent for the Release of Information-Adults (File Size: 207.1 KiB)

  Consent for the Release or to Obtain Information-Minors (File Size: 206.2 KiB)

  Explaining Confidentiality in Treatment (File Size: 267.0 KiB)

  Professional Disclosure Statement for Catherine Holland (File Size: 206.1 KiB)

  Professional Disclosure Statement for Ray Holland (File Size: 123.5 KiB)

  Notice of Privacy Practices (HIPPA) (File Size: 96.0 KiB)

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