Lotus Counseling LLC
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Platte River Counseling Professionals​
Lotus Counseling LLC
​409 N Jeffers Street
North Platte NE 69101-3939

​Phone: (308) 532-5565 ext. 1
​FAX: (308) 532-5575
​Jenee' Hill LIMHP, LADC, MA Ed.

CLIENT INFORMATION/FORMS

CLICK HERE FOR ALCOHOL TREATMENT INFORMATION
Please find the intake paperwork and Notice of Privacy Practices below.  I know how precious your time is; thus, you may find it helpful to print these forms off and bring them completed to your initial appointment.  Feel free to print off any of the following information that you find useful or helpful.  I look forward to assisting you on your journey of healing.
Below are the intake materials that if you are interested in attending outpatient therapy and you have a printer you are able to print these off and bring them to your session completed it will save time. Thank you so very much!!

Please print off the items below if you have a printer as these papers are for your information and for you to keep. Thank you very much. 
notice_of_privacy_practices.docx
File Size: 31 kb
File Type: docx
Download File

client_rights_and_responsibilities.docx
File Size: 27 kb
File Type: docx
Download File

code_of_ethics.docx
File Size: 21 kb
File Type: docx
Download File

medicaid_rights_and_responsibilities.pdf
File Size: 268 kb
File Type: pdf
Download File

nebraska_telehealth_patient_consent_form_revised_03-25-2020.docx
File Size: 15 kb
File Type: docx
Download File

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  • Home
  • Services
  • Contact
  • Scheduling Information
  • Client Information/Forms