Skip to content
True North Counseling, LLC
  • Home
  • Forms
  • Contact Us
Menu Close
  • Home
  • Forms
  • Contact Us

Forms

  1. Home>
  2. Forms

Client Information

Download Now

Consent to Treat

Download Now

Credit Card Authorization

Download Now

Emergency Protocol

Download Now

Fee Agreement

Download Now

HIPPA Notice and Privacy

Download Now

Medical Hx and Medications

Download Now

Release of Information

Download Now

Rights and Responsibilities

Download Now

Telehealth Consent

Download Now

Contact Info

  • True North Counseling, LLC. 5814 S 142nd Street Suite B Omaha, NE 68137
  • Phone:(531) 466-4696
  • Fax:531-867-3791
  • Email:truenorth4695@protonmail.comOpens in your application

Office Hours

Monday: 5:00 P.M.- 9:00 P.M.
Tuesday: 5:00 P.M.- 9:00 P.M.
Wednesday: 5:00 P.M.- 9:00 P.M.
Thursday: 5:00 P.M.- 9:00 P.M.
Saturday: 9:00 A.M.- 4:00 P.M.

Let’s Connect

© 2020 - All Rights Reserved