Forms

Telehealth_Consent_Form Second Chance Counseling PLLC .pdf

                                              Telehealth Form 

Authorization_to_Release_Confidential_Information_SECOND_CHANCE_COUNSELING_PLLC.pdf Fillable Form

                  Authorization to Release Confidential Information 

Credit Card Payment Authorization Form.pdf

                            Credit Card  Authorization Form 

SCC_INFORMED_CONSENT7_(1).pdf

                                             Informed Consent 

2nd Chance Credit Card Authorization (1).doc

    Credit Card Authorization Form