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Intake Forms 

Please fill out the following forms to bring to your first session.  This information will make the session progress more smoothly.

Adult Intake Form
This form provides valuable information to use in the counseling session.  Please bring it to your first session completed in order to expedite the initial evaluation process.


Kathy D. Infeld, M.S. R.N. Counseling and Mediation
9929 N. 95th Street Suite 101
Scottsdale, Arizona 85258
Phone: (480) 948-2631
Email: kathydinfeld@yahoo.com


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