Client Portal — thevictoriousmind

Brooke’s Client Portal

Brooke Pere, Master’s Level Counselor
Specializations: Children, Adolescents, Young Adults & Trauma/Grief.

e: brooke@thevictoriousmind.org

p: 706-363-0240

Minor Intake Form

Adult Intake Form

Telemental Health Information Form

Release of Information Form

Parent Report Form

Notice of Privacy Rights

Authorization for Minor Treatment