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Adult Admission Form 

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 Shreveport - (318) 861-8938 | Minden/Springhill - (318) 382-9700

PBCounselingAgency@gmail.com

Privacy Act Statement

Pelican Bayou Counseling is committed to protecting the privacy and confidentiality of all individuals who use our services or visit our website.

In accordance with the Privacy Act and applicable federal and state laws, any personal or health information collected through this site or during service delivery will be used solely for the purpose of providing care, improving services, or as otherwise legally required.

We do not sell, share, or disclose your personal information to third parties without your explicit consent, except as required by law or for authorized treatment, payment, or healthcare operations.

By using this site, you consent to the collection and use of your information as outlined in this statement.

If you have any questions or concerns about our privacy practices, please contact us directly.

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©2022 by Pelican Bayou Counseling Agency Inc.

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