200 North 9th Street Columbia, Mo. 65201

(573) 424-8220

Lynneharris284@gmail.com

Forms

 In order to protect you confidentiality, please do not send the  completed forms to me by email, as it is not a secure medium.  If you  wish, you may send the completed forms by mail or courier to my office:   Stonebridge Executive Suites, Building 5A, 601 West Nifong, Columbia,  Mo.  65203 

AGREEMENT-TO-MEDIATE (pdf)

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Custody-Evaluation-Informed-Consent (pdf)

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Informed-Consent-Lynne2016-1 (pdf)

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LIFE-HISTORY-FORM (pdf)

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Release-of-Information(1) (pdf)

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Client-Intake-Information-1 (doc)

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