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  • Home Page
    • Contact
    • Locations
  • Current Client Information
    • No Surprises act
    • COVID-19
    • Client Portal
  • About Us
    • News
    • Affiliates
    • Career Opportunities
  • Our Team
    • Therapeutic Clinicians
      • Deborra M. Smith, LISW, MSW
      • Caitlin Cool, LMHC, MS
      • Carol Logan-Brummer, LMHC, CADC
      • Brittney Baxter Dameron, LISW, MSW
      • Annie Young, LISW, MSW
      • Jeanice Knight-Bogatz, LMHC, LPC, MS
      • Sarah E. Herzberg, PhD
      • Tausha Coffman, LMHC, MS
      • Lila Stephens, MA, NCC, LMHC
      • Nichole Waterman, MS, PLMHC, NCC
      • Benjamin Wright, LMHC
      • McKenzee Renkema, PLMHC, T-LMHC, NCC
      • Melissa Sperry, PLMHC
      • Jason Swain, MS, LMHC, CCMHC, NCC
      • Daniel Stokes, MS, PLMHP, T-LMHC
    • Psychiatric Providers
      • Nurse Practitioner
    • Administrative Assistants
    • Team Professionals
  • Services
    • Telehealth
    • Psychiatric
    • Psychotherapy
      • Individuals
      • Relationships and Marriage
      • Telehealth
      • Groups
      • PCIT
      • EMDR
      • LPHA Behavioral Assessment
      • EAP Services
    • State Funded
    • Other
    • Insurance
  • Forms
    • Telehealth Consent
    • Good Faith Estimate
    • Parenting Assessment
    • Formulario Inicial para Consejeria
    • Therapy Intake
    • LPHA Intake
    • Psychiatric Intake
    • Medication Consent
    • Aftercare Intake
    • Aftercare Consent
    • Aftercare – Clinical Rights
    • Release of Information
    • Client Rights for No Surprises Act

2-28-22-TPI-Good-Faith -Estimate-1

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Contact Therapy Place

  • 101 East 22nd St.
    Atlantic, Iowa 50022
  • Phone: 712-254-9018
  • Fax: 712-254-9019
  • Email Therapy Place, Inc.

Important Forms

  • New Client Intake Packet
  • Intake Packet En Espanol
  • Release of Information
  • Telehealth Release of Information
  • Covid-19 Consent

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