15 Pleasure Road, Ephrata PA 17522
info@lifepointcs.org
717-563-0111
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    • Office Tour
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    • What we are currently reading
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  • About Us
    • Our Therapists
    • Office Tour
    • We Believe
    • What we are currently reading
  • Services
    • Individuals
    • Couples
    • Families
    • Seminars
    • Speaker Resources
  • Resources
    • Helpful Tips and Resources
    • Community Resources
    • Videos
    • Articles
    • Recommended Reading
  • Blog
  • Clients
    • Client Forms
    • What to Expect in Counseling
    • Payment Options
  • Appointment Request
  • Contact Us
717-563-0111, info@lifepointcs.org

Client Forms

HomeClient Forms

Please download and print these forms and bring to your first appointment

Client Intake Form
Client Consent Form
Client HIPPA Form
Good Faith Estimate Notice
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Phone: 717-563-0111
15 Pleasure Road
Ephrata PA 17522

©2019 Lifepoint Counseling Services Ephrata PA 


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