Client Contract

Download our client contract forms and return them below before your appointment at purposecounselingandconsulting@gmail.com

Informed Consent Service Agreement (pdf)

Download

Good Faith Estimate Notice (pdf)

Download

Purpose Counseling and Consulting Intake Form (pdf)

Download

Site Content

Other services

Terica is available to provide workshops on topics such as goal setting, stress management,self-esteem and much more. Contact her for more information.

Contact Us

Purposecounselingandconsulting@gmail.com

US Post Office Box 1723, 210 N Seminary St, Florence, Alabama 35630, United States

(256) 648-4018

Hours

Today

Closed

Taking appointments after 4:00p.m daily.

Summer hours vary.

Name

Email*

Attach Client Contract

Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Cancel

Privacy Policy
Terms and Conditions

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.