703-282-4286

KHarrell.lpc@gmail.com

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.

Client Intake Form

Information Sheet

Limits of Confidentiality



Licensed Professional Counselor (LPC)
Nationally Certified Counselor (NCC)
Approved Clinical Supervisor (ACS)

KHarrell.lpc@gmail.com
703-282-4286

Teletherapy in Virginia
verified by Psychology Today

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