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For your convenience, we have included our intake form here. Please download, fill out and bring with you to your initial visit. 

Click on the Download Form button below.

Download and complete form then FAX or mail to:
FAX:  740-824-3776
Mail: 905A River Road, Granville, OH 43023

TESTIMONIALS

“DEBBIE E. DICKSON COUNSELING, INC., HELPED ME THROUGH SOME DIFFICULT TIMES IN WHICH I GAINED A NEW PERSPECTIVE. I HIGHLY RECOMMEND DEBBIE AND HER STAFF."

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