Client Confidential Form

Instructions for Filling out this Form

Please take a minute and fill out the questions below by clicking on the space and typing your answer. Then, press the Send Form button at the bottom of the page

Your answers to the following questions will be helpful in planning my responses for you. Please answer each item carefully. The information you provide here is absolutely confidential!

***Please be advised Julie Morrell, MFCC is accepting new clients for her in person private practice. And she will add Skype clients into her practice. She is only offering email and phone consults to her ongoing clients through her private practice or Skype consults. If you want a Skype appointment be sure to fill out the payment information below to reserve a skype time. Thank-you.***

Personal Information:

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