Kimberly Kino
1536 East Maryland
Phoenix, AZ 85014
480 650-8883
kimberly
@athomecounselingservices.com



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Specializing in Adult and Teen Depression and Anxiety Counseling, GLBT Counseling, and Relationship Counseling.

Providing Services to the Greater Phoenix, Glendale, Scottsdale and Tempe areas.


HELPFUL FORMS

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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