A J Counseling Services, P.C.

Counseling for the whole family

New Patient Forms

Access the forms below by clicking the buttons to the left. Print and fill out the information on the forms and have them with you for your first appointment

Patient info  Patient Information Form

Policy  Office Policy and Contract

Privacy  Privacy Notice

Release  Confidential Information Release



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Contact us to make an appointment

Phone

(402) 670-0717

Email

ajmurphy@ajcounseling.com