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(252) 335-2018
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Albemarle Counseling Group Albemarle Counseling Group
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  • About Us
    • Our Introduction
    • Staff
  • Services
    • All Services
    • Family Therapy
    • Individual Psychotherapy
    • DBT Informed Therapy
    • Eye Movement Desensitization Reprocessing
    • Couples Therapy
    • Play therapy
    • Trauma Focused Cognitive Behavioral Therapy
    • SITCAP ART Therapy
  • Insurance and Payment Information
  • Forms

Forms

Here are downloadable forms available to fill out at your convience.

Adult Intake Form
Consent Form
Child Intake Form
Medical Release Form
Medical Power of Attorney Over A Minor Child
Telehealth Consent Form
Albemarle Counseling Group

Providing counseling and psychological services to our clients in the Albemarle region.

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Get in Touch

905 Halstead Blvd, Suite 7 & 8, Elizabeth City, NC 27909
Phone: 252-335-2018
Fax: 252-335-9521
albemarlecounseling1@gmail.com

IF YOU ARE HAVING THOUGHTS OF SUICIDE -- There is help for you at the National Suicide Hotline at 1-800-SUICIDE (1-800-784-2433) or 1-800-273-TALK (8255) or call 911 for local assistance. Your Life is Worth It!