Services Provided / Gail A. Bills Licensed Clinical Social Worker / Salem, Oregon

Forms and Info

Grief Recovery Therapy

About Me

Forms

If you wish, you may print off and complete the following client registration forms in advance, or I will provide them to you when you arrive for our first meeting.

Client Registration Form

Client Questionnaire

Privacy Practices Consent Form (To be signed after reviewing my Privacy Practices document below)

Information

Notice of Privacy Practices - Long version

Notice of Privacy Practices - Brief Version

What to expect in your first counseling session

Note: To download Adobe Acrobat Reader for free, click here.

Gail A. Bills, LCSW • 189 Liberty St NE, Suite 203B • Salem, Oregon • 97304

503-860-9276 • email