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Forms

Please fill out the forms below and submit them for our first session. You can also reference these forms in the future if you need a release of information. 

Intake
Form
Policies
Notice of
Privacy
Release of Information

CONTACT

Jenifer Piegaro LMFT, MFTA

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Lasting Transitions Counseling Services, registered with the Kamer van Koophandel (Dutch Chamber of Commerce) #  90945069 

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Counseling & Coaching

Lasting

Transitions

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