Family Support Counseling & Advocacy - (585) 633-0160

Azadeh Shahryarinejad

  • Family Support Counseling & Advocacy - (585) 633-0160
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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Acknowledgment/Consent Form

The Intake Packet

Service Agreement/Informed Consent

Authorization for Release of Information

Notice of Privacy Practice

Limits of Confidentiality

Azadeh Shahryarinejad



(585) 633-0160
familycounselingadvocacy@gmail.com

625 Panorama Trail Building # 1, Suite 107
Rochester, NY 14625

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Office Hours are Available by Request
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Contact Information

625 Panorama Trail Building # 1, Suite 107
Rochester, NY 14625

(585) 633-0160
familycounselingadvocacy@gmail.com

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