BOARD CERTIFIED COUNSELOR/TALK THERAPY/LIFE COACH
GROUP THERAPY SESSIONS
ST. LOUIS MO., ST. CHARLES,MO., IL.
TALK THERAPY/Web Therapist
GROUP COUNSELING SESSIONS
OFFICE /TELEPHONE SESSIONS
CONNIE TRUNK, LPC, NCC,NBCCH
Licensed Professional Counselor
Board Certified Counselor
Board Certified Clinical Hypnotherapist
By Appointment Only
CALL: (314) 731-7667
Group Therapy Office
I CAN PROVIDE
OFFICER IF NEEDED
FOR ADDITIONAL FEE
MC/VISA & DISCOVER
PAYMENT OVER THE
TELEPHONE MY OFFICE
CALL (314) 731-7667
PAY PAL OPTIONS ARE ON OTHER PAGES OF THIS SITE.
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I _________________________________(New Client) consent to treatment from Connie Trunk, LPC,NCC, NBCCH, Therapist, dba
New Beginnings Therapy Center,L.L.C. My choice is voluntary. I understand that there is no guarantee that I will feel better,
because I cannot predict Human Behavior. I understand that Counseling Session and/or Clinical Hypnotherapy/Hypnosis/Guided
Imagery Session, and/or Therapy Session is a cooperative effort between me and my Therapist. I will work with my Therapist in a
cooperative manner to resolve my difficulties. I understand that fees are non-refundable. I understand that state and local laws
require that my Therapist report all cases in which there exists a danger to self to
others. I have read and have explained to me the basic rights of individuals who receive services from Connie Trunk, LPC, NCC,
NBCCH, dba New Beginnings Therapy Center, L.L.C.
These Rights:1. The right to be informed of various steps/activities involved in receiving services.
2. The right to confidentiality under federal/state law relating to receipt of services.
3. The right to humane care & protection from harm, abuse, or neglect.
4. The right to make an informed decision, whether to accept or refuse treatment.
I have reviewed/recieved the Privacy Notice & Confidentiality Notice. I have read and understand the
above. I understand that fees are non-refundable for Counseling Sessions and/or Clinical Hypnotherapy/Hypnosis/ Guided Imagery
Sessions and/or Therapy Sessions by Connie Trunk dba New Beginnings Therapy Center LLC.
By buying a session, I agree to the terms above.
To Purchase a Session, Click on the Pay Pal Buttons or call & pay by phone: (314) 731-7667
Legal Disclaimer: All information,services,suggestions,or advice given to you does in no way take the place of,or represent any type of
medical,legal or financial advice given to you by any qualified professional. New Beginnings Therapy Center LLC Connie Trunk will not
accept responsibility for any actions made based on advice or information obtained from this site.