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    Lebanon, KY Clinic: 317 Koehler Drive | Lebanon, KY 40033
    Columbia, KY Office: 116 Public Square Columbia, Ky 42728
    bosborne@hopeinky.org | tmattingly@hopeinky.org
    270-321-4198

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Counseling Intake Packet

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    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

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    Sliding Fee Program Policy

    Sliding Fee Scale

    Sliding Fee Application

    Contact Today

    Lebanon, KY Clinic
    317 Koehler Drive, Lebanon, KY 40033
    Columbia, KY Office
    116 Public Square, Columbia, Ky 42728
    270-321-4198 bosborne@hopeinky.org
    tmattingly@hopeinky.org

    Contact Today

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    Helping Others Pursue Excellence | 270-321-4198

    bosborne@hopeinky.org | tmattingly@hopeinky.org

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