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Printable Forms

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Printable Forms
If we have requested a form be submitted, you will find it here in PDF format.  All clients will need to submit a Consent of Treatment form.  Click on the appropriate form below to view, then click the printer icon in the upper right to print.  Please fill it out and bring it to our office.

Consent of TreatmentAdult Intake Child Intake

Authorization to Treat Minor in Absence of Parent/Guardian


Contact Us

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Contact Us

Your Name :

Your Email: (required)

Your Message: (required)


Email or Call Us:
Email: HopeCounseling@mail.com
Call Us: (785) 445-6111
Fax: (785) 893-6451

Located At: 600 S Santa Fe Ave
Suite C
Salina, KS 67401

We Are Open: Mon - Thurs: 8:30 - 5:00 and Fri: 8:30 - 3
Closed Saturday
Closed Sunday