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1

Referral Notebook

Student鈥檚 Name

Institutional Affiliation

Course Name

Instructor鈥檚 Name

Submission Date

Referral Notebook

1.
Name: John Doe Counseling Services

Contact: (555) 123-4567

Affiliation: Non-denominational

Expertise: Individual and family counseling, grief counseling

2.
Name: Grace Christian Counseling Center

Contact: (555) 987-6543

Affiliation: Christian

Expertise: Marriage counseling, addiction counseling

3.
Name: Hope Counseling Services

Contact: (555) 321-7890

Affiliation: Non-denominational

Expertise: Depression and anxiety counseling, trauma therapy

4.
Name: Renewal Counseling

Contact: (555) 876-5432

Affiliation: Christian

Expertise: Child and adolescent counseling, play therapy

5.
Name: Minnesota Family Therapy

Contact: (555) 234-5678

Affiliation: Non-denominational

Expertise: Family systems therapy, parenting support

6.
Name: Faithful Hearts Counseling

Contact: (555) 765-4321

Affiliation: Christian

Expertise: Pre-marital counseling, spiritual direction

7.
Name: Wellness Counseling Center

Contact: (555) 543-7890

Affiliation: Non-denominational

Expertise: LGBTQ+ affirming counseling, identity exploration

8.
Name: Peaceful Pathways Counseling

Contact: (555) 345-6789

Affiliation: Christian

Expertise: Trauma-informed care, EMDR therapy

9.
Name: Harmony Counseling Services

Contact: (555) 678-9012

Affiliation: Non-denominational

Expertise: Anger management, stress reduction

10.
Name: Healing Hope Counseling

Contact: (555) 890-1234

Affiliation: Christian

Expertise: Postpartum depression support, women’s issues

11.
Name: Twin Cities Therapy Associates

Contact: (555) 432-1098

Affiliation: Non-denominational

Expertise: Cognitive-behavioral therapy, solution-focused therapy

12.
Name: Living Waters Counseling

Contact: (555) 901-2345

Affiliation: Christian

Expertise: Addiction recovery support, faith-based counseling

13.
Name: Serenity Counseling Center

Contact: (555) 678-3456

Affiliation: Non-denominational

Expertise: Eating disorder treatment, body image therapy

14.
Name: True Vine Christian Counseling

Contact: (555) 234-5678

Affiliation: Christian

Expertise: Biblical counseling, spiritual growth

15.
Name: Safe Haven Abuse Shelter

Contact: (555) 456-7890

Affiliation: Non-denominational

Expertise: Domestic violence and abuse intervention

Mandatory
Reporting Statement

As mandated reporters, it is our legal obligation to report any suspected cases of child abuse or neglect to the appropriate authorities. This includes instances where there is reasonable cause to believe that a child is being harmed or is at risk of harm, regardless of whether the information was obtained in the context of counseling sessions. Failure to report may result in legal consequences and jeopardize the safety and well-being of vulnerable individuals.

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