Dear Client,
Just a brief note to thank you in advance for the opportunity to serve you; consider your
counseling as a journey toward a goal. You will travel at your own pace, so take the time you need.
Please PRINT and fill out the Personal Data Inventory, and the Health Information forms; also please PRINT and read and
sign the notice re Financial Information and Confidentiality. If
you have a question about any item, leave it blank and I will be
happy to discuss it with you at the time of your appointment.
If you are unable to keep your appointment, kindly give at least
a 24-hour notice.
BRING ALL THESE COMPLETED FORMS (8 total) WITH YOU ON YOUR FIRST APPOINTMENT.
| YOUR APPOINTMENT: | |
| Date: | |
| Time: | |
Grace and Peace,
William R. Mercer
http://counselme.truepath.com
MAP
Please enter the rear of the building and take the elevator to the 3rd floor. Suite 1 is next to the elevator.
Prestbury Square retail and office building is located directly across from Vince's Sport Center.
Exit 273 at Route 4, go about 2.5 miles west.
15 Prestbury Square, 3rd Floor, Suite 1
E. Chestnut Hill Road , (Route 4)
Newark, DE 19713 610 357 8715
http://counselme.truepath.com/Prestbury_move.htm