Please return all forms via CLIENT PORTAL before Appointment
Therapy Forms
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CLIENT FORMS
Therapist will Email you a set of forms from your client portal to fill out and return. Please complete these forms prior to your appointment. If you have any questions, please reach out to Regina @ 270-735-2626 (call or text) or reginahancock@tranquilityspringsccs.com
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Informed Consent
Please read but you will receive from the client portal to sign and return.
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Privacy Practices
Please read
How you’ll feel
more confident and clearheaded with increased energy and deeper sleep
Supervision Forms
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Supervision Contract
Please complete the following supervision contract for KY LPCA supervision. You will upload this when you receive your information sheet from the client portal.
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Hours Log
You can use this Log to keep track of your hours. You may keep track of your hours how you see fit this is just one resource. You will need to bring your hours with you each week and have a total for the Supervisor to keep track of.
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Disclosure sheet
This must be posted in your office for clients to see. Please add your information.