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Terri Mayer Counseling

private practice in bristol, vermont

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New Client Forms

**** I am not currently accepting new clients.****

If you have an appointment coming up, it will help the process if you fill out your documentation prior to your visit.

Client Registration Form

Medical Release of Information Waiver

Personal History Questionnaire

Once complete feel free to bring them in on your next visit, or email to mindfulnessbalance@gmail.com.

 

If you need any assistance with filling out these forms, please view instructions here.

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