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

Call Now: 586-281-6815

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

Client forms

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

Full Intake Packet-Teens & Adults (Patients of N.Baba) (pdf)Download
Consent for Treatment & Signature Form (docx)Download
Card On File (doc)Download
HIPPA & Signature Form (docx)Download
SWC Rates 2022-23 (xls)Download
Full Intake Packet- Children (Patients of K.Hazel/S.Evans) (pdf)Download
Release Of Information (docx)Download

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