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
DIRECTIONS:
Office location is 234 S. Bryn Mawr Ave., Suite 202. The office building is one block after the
Bryn Mawr Hospital.
LINK TO MAP~~
PARKING: Turn right to enter the parking area of The
Medical/Dental Professional Building. Go to the second floor, Suite 202, Psychology and Counseling.
* Please note: COUNTY LINE ROAD & Haverford Avenue are the same road. If you are going EAST on Route 30, Lancaster Pike, turn right onto COUNTY LINE ROAD(MacDonald's on left). At the intersection of Haverford Avenue and Bryn Mawr Avenue,
a Wawa store is on the corner; if you are going south on Bryn Mawr Ave, you cross over the SETA Hi Speed Route 100, - The
Medical/Dental Professional Building is the next immediate right.
|
W. R. MERCER
COUNSELING SOLUTIONS † |