Shepherd's Staff Christian Counseling Center
Shepherd's Staff Christian Counseling Center Logo

 

 



 


731 East 8600 South
Sandy, Utah 84094
-6312
801-561-9987
800-530-1934

Email

FOR CLIENTS

Biographies
SSCCC, the organization
Rob Pramann, Ph.D.

Angie Hendren, M.C.
Kara Jensen
J. Todd Northrop, M.C.

Pebble Pramann, M.S.

Mission

Services

Contact/Location

Notice and Forms
*indicates notice and forms required of new clients
(All non new client forms are explained in our Notice of
Privacy Practices which is available and listed below)


Access Request Form
Accounting Request Form
Amendment Request Form

Authorization for Release of Info. Form
Authorization Revocation Form
Confidential Communication Request Form
*Consent Form
*General Information Form
*Insurance Release Form
*Notice of Privacy Practices
Privacy Complaint Fact Sheet
Privacy Complaint Form
Restriction Request Form

UBH Wellness Assessment Forms, Adult
UBH Wellness Assessment Forms, Child/Adolescent

Calendar

Favorite Links


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© 2002-2007, Shepherd's Staff Christian Counseling Center.  All rights reserved.
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