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T. Greene Consulting and Therapeutic Services
Consent Forms
Contact Us
Intake Form
T. Greene Consulting and Therapeutic Services
Consent Forms
Contact Us
Intake Form
Consent Forms
Contact Us
Intake Form

Authorization to Release Information

Consent to Receive Treatment

Emergency Contact Form

Grievance Policy

HIPPA

Privacy Practices Disclosure Statement

Receipt of Client Rights

Provider Choice Acknowledgement

Release of information exceptions for which information can be released without consent

Uses and disclosures for which consent, an authorization, or opportunity to agree or object is not required form

Location

10130 Mallard Creek Road Suite 323 Charlotte, NC 28262

Hours

Monday — Friday
9:00am — 6:00pm

Saturday (special cases only)
9:00am — 1:00pm

Contact

tamikiagreene@yahoo.com
(704) 564-8833