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Big Island Counseling

Johanna Park, MA, LMHC & Wally Shrinski, MA, LMFT, CSAC

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Forms

Please note all forms listed below are for information only. Any form required will be sent securely to you for e-signature.

Intake Form for First Appointment – to be completed in first session

Authorization To Disclose Information (Johanna Park)

Authorization To Disclose Information (Wally Shrinski)

Therapy Agreement (Johanna Park)

Therapy Agreement (Wally Shrinski)

Telehealth Informed Consent

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