Serenity Counseling Services
Serenity Counseling Services
1300 East 4th St. STH H
North Platte, NE 69101
308-737-1351
serenitycounselingnorthplatte@gmail.com
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"Mental health is a commitment to reality at all costs" -M. Scott Peck
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Prior to your scheduled appointment please fill out the 2020 Complete Registration, Current Symptom Checklist, HIPAA Notice of Privacy Practice, Phq-9, and DASS21. These forms will need complete prior to your first session. This will assist in being able to focus on you during your session.  The biopsychosocial form will need completed prior to your second appointment.  

I greatly appreciate you taking the time to fill out these forms.  Please know that you DO NOT have to sign any forms without your understanding and questions being answered.  

2020_complete_registration_.pdf
File Size: 412 kb
File Type: pdf
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current_symptom_checklist.pdf
File Size: 407 kb
File Type: pdf
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hipaa_notice_of_privacy_practices.pdf
File Size: 931 kb
File Type: pdf
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phq-9_english.pdf
File Size: 40 kb
File Type: pdf
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biopsychosocial.pdf
File Size: 321 kb
File Type: pdf
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dass_21.pdf
File Size: 640 kb
File Type: pdf
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