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Life Balance Clinical Services

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.

Client Intake

Client Contact Information

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

Looking Straight Forward

Tonji Cooper
MSCP, LPC


3140 Brodhead Road, Suite 1B
Aliquippa, Pennsylvania 15001
412-596-1938
tonjigood@yahoo.com

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