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ReferralsClient Intake FormsPlease Fax all forms to 612.781.2428 You will be assigned to a therapist who will contact you or your worker within 48 hours. The therapist will schedule an intake session
Release/Exchange of Information Authorized Consent to Treatment and Payment Empower Therapeutic Support Services Referral Form Clients Rights Responsibilities Payment Options
If paying by PayPal, please use cweatherspoon@empowerfam.com as the email address.
If you would like more information about our fees or our practice, please contact us.
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