Phone: 605-431-8595, Location: 6613 Eastridge Road, Black Hawk, SD 57718
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ONLINE INTAKE

Forms

Progress Notes / Session Sheet
Child Client Information
Client Self Description
Information And Consent
Insurance Information
Client Information
NOTE: Print the PDF document, complete the form, scan, and email back.

Coming soon: Online progress notes which will allow you to quickly and easily complete your session notes online. We use SSL encryption to ensure the security and privacy of your information.

about us

About

Diana Smith, PhD, LPC-MH owns and operates Serenity Mental Health Services and is licensed by the National Board of Certified Counselors. License number is LPC-MH2025 and she follows the ethical guidelines described by the NBCC found at their web site www.nbcc.org/webethics2. Diana is a member of the National Board for Certified Counselors, Certification Number 43911. In addition, she is also a member of the American Counseling Association, Member ID# 5140627. Online counseling can help you right now. Research has made it clear that this manner of offering therapy is effective and those who’ve experienced it have said they would seek it out again.