{"id":493,"date":"2022-07-26T08:36:41","date_gmt":"2022-07-26T08:36:41","guid":{"rendered":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/?page_id=493"},"modified":"2024-09-07T06:34:02","modified_gmt":"2024-09-07T06:34:02","slug":"forms","status":"publish","type":"page","link":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"

Forms<\/span><\/h2>\n
Clients should only complete and submit forms when explicitly<\/span> requested by Dee on behalf of Daleville Family Counseling. <\/h6>\n

Download <\/span>the Form<\/p>\n

Click on the requested form below to download the PDF to your device. <\/em><\/p>\n

Complete <\/span>the Form<\/p>\n

Clients may complete the requested form in EITHER <\/strong>of the following ways.<\/em><\/p>\n

Fill in the form on a device.<\/strong><\/p>\n

This can be done by using a document completion software such as Adobe Acrobat Fill & Sign.<\/span><\/p>\n

– OR- <\/p>\n

Print the form onto paper.<\/strong> <\/p>\n

You will fill it out by hand. <\/p>\n

Submit<\/span><\/p>\n

the Form<\/p>\n

Return your completed form to Dee using ANY<\/strong> of the following methods.<\/em><\/p>\n

UPLOAD THE FORM<\/span><\/strong><\/p>\n

To upload the form securely to Dee, scroll down on this page to use the “Upload Documents” submission feature.<\/p>\n

Note: Uploads should be formatted as a PDF, JPEG or PNG file.<\/p>\n

EMAIL THE FORM<\/span><\/strong><\/p>\n

Attach the form (as either a scanned document or as photos) in an email to me at:<\/p>\n

deewashburn@tsecuremail.com<\/span><\/strong><\/p>\n

TAKE PHOTOS OF THE FORM<\/span><\/strong><\/span><\/p>\n

Take a photo of the completed form and send the photo(s) to my cell phone at:<\/p>\n

(540)-591-9911<\/strong><\/p>\n

Note: This is not a HIPAA compliant method.<\/p>\n

FAX THE FORM<\/span><\/strong><\/p>\n

Fax the completed form to me at:<\/p>\n

(540)-591-9914<\/strong><\/p>\n

MAIL THE FORM<\/span><\/strong><\/p>\n

Mail the completed form to me.<\/p>\n

Address available upon request<\/strong><\/p>\n<\/p>\n

Upload Documents<\/strong><\/h2>\n","protected":false},"excerpt":{"rendered":"

Forms Clients should only complete and submit forms when explicitly requested by Dee on behalf of Daleville Family Counseling.  Download the Form Click on the requested form below to download the PDF to your device.  Complete the Form Clients may complete the requested form in EITHER of the following ways. Fill in the form on […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"class_list":["post-493","page","type-page","status-publish","hentry","post-wrapper","thrv_wrapper"],"_links":{"self":[{"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/pages\/493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/comments?post=493"}],"version-history":[{"count":38,"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/pages\/493\/revisions"}],"predecessor-version":[{"id":947,"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/pages\/493\/revisions\/947"}],"wp:attachment":[{"href":"https:\/\/cp2.therasoftclients.com\/DALEVILLE\/wp-json\/wp\/v2\/media?parent=493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}