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MINDY BILOTTA
(289) 686-0903
melindabilotta@gmail.com
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Mindy Bilotta

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Client Forms

Please have a look at my consent/intake form. I will have a copy for you to review and sign during your first visit.

consent and intake form 2019

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for release of information

Mindy Bilotta

Counselling and Parenting Support

29 Wilfrid Laurier Cres
St. Catharines, ON L2P 0A4

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