(605) 280-9778 | lindsay@visionarymentalhealth.com

Lindsay Bruckner

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Client Forms

If you are new to therapy, please be sure to fill out the following forms and bring them to your first session. You will also need to bring a copy of your insurance card.

  • Client Intake Form
  • Information Sheet
  • Limits of Confidentiality
  • Couple’s Therapy Intake Form
  • Financial Policy Form
  • Release of Information Form

 

Contact Today

Lindsay Bruckner



(605) 280-9778
lindsay@visionarymentalhealth.com

412 W. Missouri Ave, Suite # 8
Pierre, SD 57501

1719 W. Main St Suite #201
Rapid City, SD 57702

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Contact Information

412 W. Missouri Ave, Suite # 8
Pierre, SD 57501

1719 W. Main St Suite #201
Rapid City, SD 57702

(605) 280-9778
Fax: (605) 385-0045 lindsay@visionarymentalhealth.com

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