(850) 420-2640
contact@christinerushfordcounseling.com
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Christine Rushford

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Children of Addiction Support Group Interest Form

This is a support group for elementary kids, ages 8-11, who are dealing with a loved one’s addiction issues. This is a six-week group that will run from 5:00-6:00 every Wednesday, beginning October 16th-November 20th. Total cost of the group is $180/six weeks. If you would like to be contacted by Christine Rushford, LMHC to discuss your child’s participation in group, please fill out the below interest form.
*Filling out this form does not constitute registration in the group.
By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Christine Rushford

LMHC, CPFT



(850) 420-2640
Email Me

True Guidance Therapy, LLC
1131 Mack Bayou Rd. Suite E.
Santa Rosa Beach, FL 32459

Christine Rushford

LMHC, CPFT

(850) 420-2640
contact@christinerushfordcounseling.com


True Guidance Therapy, LLC
1131 Mack Bayou Rd. Suite E.
Santa Rosa Beach, FL 32459

 


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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

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