Olive Tree Counseling
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If you are having an emergency, call 911 or the suicide hotline at 988 immediately.

Download the corresponding forms via the links below and email them to [email protected] **Please Note: All paperwork must be submitted the day before your first appointment to avoid rescheduling. OTC cannot legally see clients without the necessary authorization.
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Intake Packet

Adult Intake Form
Child Intake Form

Policies & Privacy

Please keep a copy of all privacy and policy forms for your personal records.
Privacy Policy
Online Communications
Fees For Services
Release Information

Other Forms
Request Appointment Form
Update Information
Autopay Enrollment
Unlicensed Therapy Agreement
Adolescent Questionnaire
Parent Questionnaire

Therapist Disclosure Statements

Brittney Punt, Disclosure Statement
File Size: 159 kb
File Type: pdf
Download File

Holly Hoff, Disclosure Statement
File Size: 115 kb
File Type: pdf
Download File

Kenneth Brewington, Disclosure Statement
File Size: 96 kb
File Type: pdf
Download File

Keri Chandler, Disclosure Statement
File Size: 65 kb
File Type: pdf
Download File

Picture
Phone: (907) 357-6513
Fax: (907) 357-6514
1981 E Palmer-Wasilla Hwy, Ste 220
Wasilla, AK 99654
If you are having an emergency, please call 911 or the suicide hotline at 988 immediately.
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