Granberry Counseling Centers

Forms

Declaration of Practices and Procedures: Each Granberry Counselor has a Declaration of Practices and Procedures. Please click the name of your Counselor below, print out and read their form. Please sign the form and bring it with you to your appointment. Thank you.

STANDARD NOTICE

"Right to Receive a Good Faith Estimate of Expected Charges"
Under the No Surprises Act

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Granberry Counseling Centers at 318-345-8200.

Kathy Eichelberger

Amy Butler

Lew Eaton

Belinda Edwards

Wendy Leger

Skylar Artigue

Kellie Rogers

Maranda Young

Janna McMasters

Joe McMasters

These forms are available to you to read and fill out prior to your first visit.

New Client Information Sheet

Consent to use & disclose your health info

Counseling Policies

Payment Information

Mental Health Consumers' Rights

Privacy Policy

Request/Authorization to Release Confidential Records and Information

Tele-counseling Consent

Covid 19 Consent

Good Faith Estimate Notice

YOUR GIFT

Your gift provides love, care, and hope in Christ for children and families in need. 74% of all funding comes from individuals and churches. We receive no state or federal funding for the care of children. All gifts are tax-deductible and greatly appreciated.

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PO Box 4196
Monroe, Louisiana 71211

7200 DeSiard Street
Monroe, Louisiana 71203

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Residential Child Care

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Home Place - Residential Family Care

Granberry - Christian Counseling

Connect 1 Child - Foster and Adoption Ministries

Women’s Learning Center

Orphan's Embrace

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Minister Care Residential Program

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