Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

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

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Immanuel Counseling & Consultation Services

4171 Lomac St. Suite B2,
Montgomery, AL 36106

(334) 467-4992
[email protected]

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Please do not submit any Protected Health Information (PHI).

Location