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    204 NE Douglas #A | Lee's Summit, MO 64063
    jan@pinnacle3c.com | (816) 600-5580

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    Client Forms

    Use the Contact Today button below to call or email me directly to schedule an appointment or ask a specific question. You can also use the Contact Form to send a direct message. Phone calls and email messages are usually returned within 24 hours Monday – Friday.

    Contact Today

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    Appointment Request

    Whether you are considering an “In Office” or an Online “Telehealth” Video session, our Online Appointment Request service is a convenient way to schedule an appointment. Click on the Appointment Request button. Select the session type, the location, the date and time your prefer and your contact information. If you are new to the practice we will contact you to gather a little more information before we confirm the appointment.

    After we’ve confirmed our appointment, you will receive a message that contains a link to the Client Portal. You will have access to several digital documents or forms that you can complete electronically before we meet. These upfront procedures allow us to focus more of out initial session time on you.

    There is no need to print and complete any forms or sign documents. You will have access to policy and procedural documents through the Client Portal.

    HIPAA Notice

     

    (816) 600-5580 jan@pinnacle3c.com

    204 NE Douglas #A
    Lee's Summit, MO 64063

    Appointment Request

    Contact Today

    DISCLAIMER: This form is not HIPAA Compliant.

    Pinnacle Counseling and Consulting
    jan@pinnacle3c.com | (816) 600-5580

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