The Counseling Alliance of Virginia

Client Registration

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Richmond
- Outpatient Services
  - Client Rights & Responsibilities (pdf)
  - Notice of Privacy Practices (pdf)
  - Financial Policy (pdf)
  - Client Orientation & Receipt of Privacy Practices (pdf)
  - Consent for Treatment (pdf)
  - Emergency Medical Information (pdf)
  - Authorization for Release of Information (pdf)
- Intensive In-Home Services
  - Client Rights & Responsibilities (pdf)
  - Notice of Privacy Practices (pdf)
  - Financial Policy (pdf)
  - Client Orientation & Receipt of Privacy Practices (pdf)
  - Consent for Treatment (pdf)
  - Emergency Medical Information (pdf)
  - Authorization for Release of Information (pdf)
- Mind-Body-Spirit Services
  - Mind-Body-Spirit Intake (pdf)
Chralottesville
- Outpatient Services
  - Client Rights & Responsibilities (pdf)
  - Notice of Privacy Practices (pdf)
  - Financial Policy (pdf)
  - Client Orientation & Receipt of Privacy Practices (pdf)
  - Consent for Treatment (pdf)
  - Emergency Medical Information (pdf)
  - Authorization for Release of Information (pdf)
- Intensive In-Home Services
  - Client Rights & Responsibilities (pdf)
  - Notice of Privacy Practices (pdf)
  - Financial Policy (pdf)
  - Client Orientation & Receipt of Privacy Practices (pdf)
  - Consent for Treatment (pdf)
  - Emergency Medical Information (pdf)
  - Authorization for Release of Information (pdf)
- Mind-Body-Spirit Services
  - Mind-Body-Spirit Intake (pdf)