counseling,therapy,utah,inpatient and outpatient substance abuse treatment programs,individual therapy,hypnosis smoking cessation stop smokingPathways to Success

In order to expedite your first visit, we provide the following forms online. Please complete the appropriate application and consent and bring them to your first session. If you would like assistance with these, please contact Marlo Bennett, LMFT.

If you do not have Adobe's Acrobat Reader, you may download a free version on their site.

Application for Couples

Application for Adolescent or Child

Client Consent for Therapy

Client Consent for Hypnosis

Client Consent for Smoking Cessation

Client Consent for Smoking Cessation

Relationship Counseling and Confidentiality

Release of Information

® 2008 Marlo Bennett
All Rights Reserved.Last updated September, 2008
 
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