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Complex Care Counselling
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Counselling Sessions Confirmation
Client Sessions Form Helen Philips
Client
ID Number
Therapist
Counselling Sessions
Session Date
Session Date
Session Date
Session Date
Session Date
Session Date
Session Date
Session Date
Any Comments
Add any comments you would like to make.
Confirmation
Signature
*
Clear
Signature Statement
I confirm that the sessions I’ve had with DisabilityPlus (Deaf4Deaf) correspond to the dates I’ve entered on this form.
If you are human, leave this field blank.
Submit