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(717) 723-8644

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Diversity Works- Counseling, Supervision, Consultation, Training, LLC

Therapy For Individuals, Couples & Families

Patient Forms

If you're a new client, please complete the following form based off your insurance situation and bring them to your first therapy session.

New Patient Paperwork With Insurance

New Patient Packet Without Insurance

Credit Card Form: https://pdf.ac/a9tbR5









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Dr. Latinia Shell, E.dD., LPC, NCC, CCMHC, ACS

717-723-8644

351 West James Street Lancaster, PA 17603 US

[email protected]
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