Stephan P. Michener, LCSW
Counseling for Individuals and Couples
100 CrossKeys Office Park
Fairport, NY 14450
(585) 383-4478
Stephan P. Michener, LCSW
Counseling for Individuals and Couples
100 CrossKeys Office Park
Fairport, NY 14450
(585) 383-4478
Forms
Home
About Steve
Contact Me
Office Location
Rates & Insurance
FAQ
For Couples
Articles & Book
Home
Home
About Steve
Contact Me
Office Location
Rates & Insurance
FAQ
For Couples
Articles & Book
Forms
Below are two of the forms you will need to fill out at your first appointment. You may print them out ahead of time and bring them to the first appointment. If you will be using your insurance please also bring your insurance card as well.
Client Information Form (2 pages)
Notice of Privacy Practices (2 pages)
What kinds of problems do you help people with?
Stephan P. Michener, LCSW
100 CrossKeys Office Park
Fairport, NY 14450
(585) 383-4478
smichene@rochester.rr.com
All website content © Stephan P Michener, LCSW 2015