SIOUX EMPIRE CHRISTIAN COUNSELING INC
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Intake Forms

Please PRINT, fill out, and bring these forms to your initial session:

Client Information Form- Page 1

Client Information Form- Page 2

Client Informed Consent to Treatment & Fee Agreement- Page 1

Client Informed Consent to Treatment & Fee Agreement- Page 2

Notice of Privacy Practices

Sioux Empire Christian Counseling
2000 S. Sycamore Ave. Suite 101
Sioux Falls SD 57110-4263
Phone: (605) 271-0261 Fax: (605) 271-0263