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Employment Support                                                Career/Education Exploration                                   Computer/Smart Phone Skills

Psychotherapy                                                          Relationship Counseling                                             Psychoeducation for families

Anger Management                                                  Coping Skills for Anxiety

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CCS Service Facilitators -  Please fill out referral form

Thank you for considering a referral to EmployAbility/EmpowerAbility

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Before completing the referral form below, please acknowledge that you:
   - Have you discussed the service with your client, and they are interested.
   - The client is available to meet between the hours of 9:00 am and 5:00 pm during the Monday to Friday work week?
   - The client understands if they do not attend their scheduled appointment or cancel less than 24 hours before the appointment three times, services will be discontinued.

Do not enter sensitive information on this form, as we cannot guarantee security. Please contact our office with any addition information.

Thanks for submitting!

General Inquiries

Do not enter sensitive information on this form, as we cannot guarantee security. Please contact our office with any addition information.

Thanks for submitting!

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