(513) 491-3920 | kierra@rayfordtherapeuticinstitute.org

Rayford Therapeutic Institute of Counseling, Education, and Wellness

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Client Intake

Client Information

Client Policies

Child Intake Form

Authorization for Release of Information

Limits of Confidentiality

 

Contact Today

Kierra Rayford
M.Ed , LPC



(513) 491-3920
kierra@rayfordtherapeuticinstitute.org

4836 Duff Dr. Suite F
Cincinnati, OH 45246

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Contact Information

4836 Duff Dr. Suite F
Cincinnati, OH 45246

(513) 491-3920
kierra@rayfordtherapeuticinstitute.org

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