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New Patient Forms PDFs

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Thank you for choosing Riverside Counseling Center. You can download a PDF version of our forms and complete yourself, scan, and submit to frontdesk@riversidecounseling.net

[/vc_column_text][nectar_highlighted_text color_type=”regular” highlight_color=”#c9510c” style=”full_text”]Please only submit paperwork once you have an appointment. Thanks![/nectar_highlighted_text][/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1/6″ tablet_width_inherit=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][/vc_column_inner][/vc_row_inner][vc_row_inner column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” top_padding=”20″ text_align=”left”][vc_column_inner column_padding=”padding-3-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1/3″ tablet_width_inherit=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][nectar_icon icon_family=”iconsmind” icon_style=”default” icon_color_type=”color_scheme” icon_color=”Accent-Color” open_new_tab=”true” icon_padding=”0px” icon_iconsmind=”iconsmind-Profile”][vc_column_text css_animation=”fadeInUp” css=”.vc_custom_1587846837957{margin-bottom: 15px !important;}”]

Patient Intake Form (1)

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Patient Intake Form (2)

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