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Contract Signature

Forms

Below are a list of Forms that help you to prepare for your journey...

Filling Out a Form

This form allows us to gather important information about you and your concerns

This form allows us to gather important information about your insurance provider (if applicable)

Business Consultation
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** Period Poverty Initiative: Period products are a luxury to some, and not every girl has access to pads, tampons, feminine wash, etc. Here at Ephphatha Counseling we donate some of our proceeds to help end period poverty domestically and internationally.

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Counseling services in Livonia, MI

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