New! Emotional Support Animal Certifications!

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    • Home
    • Who We Are
    • Clinical Services
    • Meet The Director
    • Shine Staff
    • Insurance & Billing
    • Client Forms
    • ESA Certification
"Discover the best version of you"

Call Now: 586-281-6815

  • Home
  • Who We Are
  • Clinical Services
  • Meet The Director
  • Shine Staff
  • Insurance & Billing
  • Client Forms
  • ESA Certification

Client forms

Agency documents are now available online and can be downloaded, saved and printed.  

Full Intake Packet- Children (Patients of K.Hazel/S.Evans) (pdf)Download
2024 Revised Full Intake Packet-Teens & Adults (Patients of N.Baba) (pdf)Download
Revised 2024 Card On File (pdf)Download
Revised 2024 Consent for Treatment (pdf)Download
Revised 2024 HIPPA (pdf)Download
Revised 2024 Release of Information (pdf)Download
Revised 2024 SWC Reimbursment Rates (pdf)Download

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  • ESA Certification

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