(240) 912-6025 | rmakonnen@wearetherapeutic.com

Makonnen Therapeutic Services

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  • Makonnen Therapeutic Services
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      • Counseling for Friends & Family of Addicts
      • Medication Assisted Treatment
      • Personal Addiction Counseling
    • Child and Adolescent Counseling
    • Couple’s Counseling
    • Family Counseling
    • Military/Veteran’s Counseling
    • Integrative Health
    • Genetic Testing
  • About
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      • Maryland Health Exchange
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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Client Intake

Client Information

Payment Method Form (Credit/Debit)

Authorization for Release of Information

Limits of Confidentiality

Maryland HIPAA  Notice Form

Acknowledgment of HIPAA Form

Therapist/Client Agreement

Contact Today

Categories

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Office Hours

Monday through Friday: 9 am - 7 pm
Request An Appointment

Office Location

Contact Information

2401 Research Blvd, Suite 200
Rockville, MD 20850

(240) 912-6025
rmakonnen@wearetherapeutic.com

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