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By submitting this form and checking the box below: *

I acknowledge that contacting Kelsey Kerr, LPC-Associate under the supervision of Jeremy Pierce (LPC-S) does not create a professional relationship and does not provide counseling services until a proper intake session has occurred and corresponding paper work has been completed. This means that phone consultations and emails also do not create a professional relationship. I acknowledge that phone calls and emails are not a secure methods of communication and I accept any and all risks related to confidentiality pertaining to such communications. I have read the terms of service (see hyperlink to the right).

By checking this box, I agree to all the terms above.