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


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


34.5 KB

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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