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Wausau
Wisconsin Rapids
Schofield
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Compass Counseling Forms
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Forms for Download
Child/Adolescent Clients Need to Complete:
Personal History:
Child Personal History - Child (PDF)
Insurance Information:
Client Insurance Information (PDF)
Fee Policy Acknowledgement (PDF)
Adult Clients Need to Complete:??????
Personal History:
Personal History (PDF)
Insurance Information:
Client Insurance Information (PDF)
Additional Forms for Counseling Services:
Privacy Notice (PDF)
Payment Authorization Form (PDF)
Non-Discrimination Notice (PDF)
Client Rights (PDF)
General Release of Information (PDF)
Disclosure to Exchange Records with Physician (PDF)