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Privacy Notice
New Client Forms
Client Forms - Adults
Please read through the entire packet and complete the forms. Couples attending together should each fill out a Client Data Sheet.
Client Forms - Minors
Please read through the entire packet and complete the forms for clients under the age of 18.
Authorization for Use or Disclosure of Protected Health Information

New Leaf Resources
2325-177th Street
Lansing, IL  60438
(708) 895-7310
info@newleafresources.org

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