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Client Information Form- Adult version v9

by ggeffcken | Aug 12, 2026

Client Information Form- Adult version v9

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Eric Belsterling, MA, LCMHC, LCAS, CSAT-S, CMAT, CCS

Eric Belsterling practices trauma integrated care by utilizing Sensorimotor Psychotherapy (SP), EMDR, and Trauma Focused Cognitive Behavioral Therapy (TF/CBT). He’s a Licensed Clinical Addiction Specialist, Certified Sex Addiction Therapist-Supervisor, and Licensed Clinical Mental Health Counselor.

Reach Eric Belsterling

eric@heartandsoulrecovery.org
Tel: 828.337.0391
959 Merrimon Ave.
Suite 9-B
Asheville, NC 28804

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Client Forms

Before our first session, kindly take some time to print and fill out relevant forms as well as you can. You can type on the forms before printing, too.

Client Information Form HIPAA and Client Rights Form
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