Dale S Foster, Ph 2025

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The document is a comprehensive health and wellness questionnaire from NeuroSource, LLC, designed for clients seeking psychological and wellness services. It collects personal information, health history, current concerns, and lifestyle habits to assess the client's needs. The document also outlines policies regarding payment, confidentiality, informed consent, and the distinction between counseling and coaching services provided by Dr. Dale S. Foster and Lee Ann Foster.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (115 Votes)

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