Masterpeace Counseling

"Forms"

*Please PRINT forms on ONE SIDE only. Do not double side.

Pre-counseling Forms for New or Returning Clients	/View and Print Form
/
Recipient Rights/HIPAA Guidelines	View and Print Form
/
Release of information	View and Print Form
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Fee Agreement and Other Forms	View and Print Form

When you click on each "view form" link above you will be directed to a PDF form which you may print, fill out and take with you to your appointment at Masterpeace Center for Counseling and Development.

308 South Maumee

Tecumseh, MI 49286

517-423-6889 PHONE

517-423-6890 FAX

EMAIL: masterpeacecounseling@juno.com