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Tonia Durand, LPC

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Tonia Durand, LPC 

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SCHEDULING - 

To schedule a counseling appointment with Tonia Durand or get on her waitlist, contact the CAC at 423-531-6961, opt.  1

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Intake Forms

Please only access these forms if you have a scheduled appointment.

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Notice of Privacy Practices

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Forms for new AUTISM ASSESSMENT or COGNITIVE BEHAVIOR THERAPY (CBT) clients:

 

Clinical Welcome Packet (Policies and other information): Download and keep for your records.

 

Assessment and Therapy Initial Intake Form: Complete and bring to intake session.

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Patient Information form: Complete and bring to intake session.

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Directions to Complete Forms:

  1. Download each set of forms to your computer.

  2. Open "File Explorer" and open your forms using Adobe Reader.

  3. Choose the "fill-in" option and choose that you are completing the form.

  4. Create a text box by clicking on a blank line.

  5. Save the document by "save as" and renaming the document to include your last name or initials.

  6. Return the documents by either: bringing them to your first appointment, faxing them to (423) 521-8094, or emailing to elizabeth@chattanoogaautismcenter.org.

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