Please print and complete the following forms: 1. Complete Intake, 2. Financial Matters, 3. Appointment Cancellation Policy, 4. Initial Intake - Counselor Specific, 5. Informed Consent-Counselor Specific, Parental Consent for Youth-Counselor Specific, Youth Intake if applicable. Please bring the completed form to your appointment. The APS questionnaire will be emailed to you from the NCCA Web Server.

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Contact Us

© Copyright 2019 by Cross and Crown Counseling

Tel: 503-917-1625

Email: admin@crossandcrowncounseling.com

Address

689 Main St.

Dallas, OR 97338