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    Caldwell Family Counseling
    Caldwell Family Counseling
    • Home
    • COVID-19
    • Counseling Services
    • Therapist Bio’s
    • Parents Page
    • Contact Us
    • Common Questions
    • Pay Online

    Please download and complete the forms below. Adobe Reader is needed to view and print them.

    Informed Consent for Denise

    Informed Consent for Robin

    Informed Consent for Jennifer

    Electronic Intake

    NOPP

    Permission to Treat Minor

    ADOL Agreement

    Client Satisfaction Form

    Wellness Assessment Adults

    Wellness Assessment Youth

    Visit Us:

    457 Ridge Street
    PO Box 692
    Bloomsburg, PA 17815

    Contact Us:

    Fax: (570) 356-2207
    Denise Caldwell 570-356-2206 ext. 102

    Please call Tapline 1-800-222-9016 in case of a mental health emergency or go to your nearest emergency room.

    Pay Online Here

    Confidentiality:

    Our services are confidential and we cannot discuss your situation unless you give specific, written permission for a specific individual or agency. We are bound by the professional ethics, standards, and laws of Pennsylvania and the federal government. We will discuss this with you more thoroughly in our first few meetings.
    © Caldwell Family Counseling, LLC 2018. All Rights Reserved.