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    500 Washington St. C | The Dalles, OR 97058
    (503) 828-7878

  • Suzanne M Elton LPC LMHC

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    Client Forms

    If you are new to 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.

    Intake Form

    Telemental Health Consent Form

    HIPPA Notice of Privacy Practices

    Consent for Treatment

    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

    Contact Today



    500 Washington St. C
    The Dalles, OR 97058

    (503) 828-7878

    Contact Today

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    Suzanne M Elton PhD, LPC
    (503) 828-7878

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