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    2012 W. Highway 160 Suite 9 | Fort Mill, SC 29708
    kirsten@carolinacommunitycounseling.org | 866-652-0093 Fax: 1-844-836-7106

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Form

    Information Sheet

    Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

    2012 W. Highway 160 Suite 9
    Fort Mill, SC 29708

    866-652-0093
    kirsten@carolinacommunitycounseling.org
    Fax: 1-844-836-7106

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    Carolina Community Counseling, LLC
    kirsten@carolinacommunitycounseling.org | 866-652-0093
    Fax: 1-844-836-7106

    Now Offering Mid-Morning Appointments

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