Please do not include any sensitive information on this form. Any sensitive information should be sent via the HIPAA compliant portal which you will have access to once you register as a new patient.
Sherell Hebert, LPC
Sherell Hebert, LPC
Please do not include any sensitive information on this form. Any sensitive information should be sent via the HIPAA compliant portal which you will have access to once you register as a new patient.