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Life Navigation Counseling Services

“Love recognizes no barriers. It jumps hurdles, leaps fences, penetrates walls to arrive at its destination full of hope.” — Maya Angelou

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Posted on June 5, 2017June 21, 2017

Forms

The following forms can be printed and filled out before your first appointment.

Therapy Forms

Informed Consent – Please read and sign

NOTICE OF PRIVACY PRACTICES

Sign off on privacy Practices.

ADOLESCENT INFORMED CONSENT

Evaluation Only Forms

DOT/SAP Forms

Hours & Info

5200 Hwy 98 East
Santa Rosa Beach, FL 32459
Ph:1-203-954-9211 Fax: 850-231-1263
jblamasah@reallifenavigation.com
M-F: 8am-8pm
Sat: 9am-2pm

Suicide Hotline

If you or someone you know is in crisis, call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). TTY: 1-800-799-4TTY (1-800-799-4889). You can call and speak with a counselor 24 hours a day, 7 days a week.

Call 911 if you’re in immediate medical crisis.

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