Jorgensen Counseling Inc.
Dr. Jeffrey C. Jorgensen, D.BH, LPC 

Individual, Marriage, & Family Counseling

409 W. 7th Street
Safford, AZ  85546
Phone: (928) 428-2952
Fax:  (928) 428-2016

Downloads

For your convenience, you may print and fill out these forms and bring them with you to your first appointment.

 

 
patient_information_new_logo.doc
34.5 KB



New_consent_to_treatment.doc
36.5 KB






Client's Rights Form  (you keep this copy)



Additional Forms



Release of Information




Dr. Jeff Jorgensen's resume

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