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Select Counseling

Effective Couples Therapy, Family Counseling and Individual Counseling

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Home » Forms

Forms

New Client Forms (Couples)

  • Intake
  • Client Service Agreement
  • Disclosure Statement: Flori Willard – Current Credentials
  • Couple Screening
  • When We Are Not Getting Along
  • PHQ-9
  • Substance Abuse

New Client Forms (Individual)

  • Intake
  • Client Service Agreement
  • Disclosure Statement: Flori Willard – Current Credentials
  • PHQ-9
  • Substance Abuse
  • Hurting vs. Healing Couple Cycle
  • Consent to Release Confidential Information
  • Contact Now

Counseling

  • Couples Counseling
  • Individual Counseling
  • Family Counseling
  • Expatriate Online Counseling

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Select Counseling
410.949.1238

3355 St. Johns Lane • Suite J • Ellicott City, MD • 21042 US

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The information on this website is intended to inform and educate those seeking psychotherapy treatment from Select Counseling and is not intended to be a substitute for psychotherapy. If you are in a crisis situation, please call 911 immediately, go to the nearest Emergency Room, or call Grassroots 24 Hours Crisis Hotline at 410-531-6677. If you are overseas, call or go to your Embassy for help.