Amigo Family Counseling, LLC

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  • Our Services

    • Respons·ability Social Therapy (RST)
    • ASD Diagnostic Evaluations
    • Psychological Evaluations
    • Social Immersion
    • Acting Workshop Program
    • Telehealth
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    Our Policies & Forms

    Our Policies:

    • Social Media Policy

    • HIPAA NPP Policy

     

    Our Forms:

    • Change of Contact Information

    • Telehealth Informed Consent Form

    • Release of Information Form

    • Credit Card Authorization Form

    • Non-Client (Collateral) Consent Form

    • Limits of Confidentiality for Clinical Residents

    • Child/Adolescent Social Health History Form

    • DSM–5 Self-Rated Level 1 Cross-Cutting Symptom Measure, Child Age 11 to 17

    • RST Remote Testing Informed Consent

    ​

    License Verification & Information:

    • eLicense Ohio Professional Licensure Program

    • CSWMFT Board Website

    Address:

    355 East Campus View Blvd, Suite 105
    Columbus, OH 43235

    Contact:

    AmigoFamCounsel105@gmail.com

    Phone: (614) 310-1234

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