North Oakland Counseling, LLC - CLINICAL FORMS - Rochester, MI
North Oakland Counseling LLC   (248) 841-4080 - Therapy & Counseling for Individuals, Couples & Families


1-Form for Tele-Mental Health Counseling ( Also Known as Video Counseling) 

If you are planning on scheduling tele-counseling sessions please print, complete and sign the following form. You can either fax the completed form to (248) 375-0038 or email it to your therapis.  You can also take a photo of the completed and signed form and text it to your therapist.  Your therapist will provide with additional information as needed:

Tele Mental Health Form (PDF — 141 KB)

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