Culpepper Counseling

Christina Culpepper
Christina Culpepper, LMFT
Licensed Marriage and Family Therapist.

For questions, session fees or to
schedule an appointment please call


Christina Culpepper at (615) 481-0555
or
e-mail:
cculpepper5@gmail.com

 
Forms


If you're a new client, please complete the following forms and bring them with you. They are word documents that you can download and print. Just click on Download.

View - Client In Take - Download

View - Confidentiality And Cancellation Policy - Download

 
 


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information. This is a word documents that you can download and print. Just right click on Download.

View - Authorization to Disclose Information Form - Download

 
 
 
 
 
Culpepper Counseling | 2640 N Mt Juliet Rd Suite 108, Mt Juliet, TN 37122 | (615) 481-0555
 
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