• Home
  • About Us
  • Services Provided
    • Individual
    • Children
    • Families
    • Couples
    • Addiction
  • Common Questions
  • Rates & Insurance
  • Contact Us
  • Home
  • About Us
  • Services Provided
    • Individual
    • Children
    • Families
    • Couples
    • Addiction
  • Common Questions
  • Rates & Insurance
  • Contact Us

Necessary Forms


​Intake Form pg 1
Intake Form pg 2
Financial Form
 
Client Info Patrick
Client Info Linda
 
Forms to complete before initial visit with Rainya:
Patient Rights under HIPPA
Adult Client Intake – Billing Policy
Youth Client Intake – Billing Policy
Authorization for Release of Information
Minor Consent Form

Telephone

(406) 252-7510
​

FAX

(406) 252-7510 ​

Address 

220 Grand Ave 
Billings, MT 59101 ​

Email

info@arelationshipcounselingcenter.com
Necessary Forms
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Links & Resources
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