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    1246-C Concord Rd. Ste. 102 | Smyrna, GA 30080
    info@mlcconsultingllc.com | 678-483-6968

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Form

    Information Sheet

    Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

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    MLC Consulting

    MICHELLE BERRY, Therapist
    MOVING TO A NEW LOCATION
    Effective Friday, February 14, 2020
    Inside the office of Hadiya Wellness

    1246-C Concord Rd. Ste. 102
    Smyrna, GA 30080

    678-483-6968
    info@mlcconsultingllc.com

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