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L. A. Counseling Services
6797 N. High Street
Suite 100
Worthington, OH 43085
614-296-9596
info@lacounselingservices.com


Serving Alexandria, Arlington, Columbus, Delaware,
Dublin, Gahanna, New Albany, Westerville,
and Worthington.   

HELPFUL FORMS

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client  Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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