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    53 Old Farm Rd | Stowe, VT 05672
    dr.rickbarnett@gmail.com | (802) 373-2909

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  • Rick Barnett | BPS Health LLC

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    Assessment Payment and Paperwork

    To pay securely using Paypal please click Buy Now button below

    Payment for Counseling
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    *Send email Sliding Scale for possible discount payment options

    For Alcohol & Drug Assessment: Please pay for assessment and click on both icons below and print documents.  Please fill out and sign both documents and either send in the mail, fax or bring to your appointment.

    For Sexual Addiction Assessment: Due to the nature of this subject it is necessary to have all documents filled out and signed at the time of the appointment.  You can click and sign the HIPPA form and pay for the assessment online in preparation.

    Drug and Alcohol Assessment

    HIPAA Form

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    53 Old Farm Rd
    Stowe, VT 05672

    (802) 373-2909
    dr.rickbarnett@gmail.com

    Contact Today

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    dr.rickbarnett@gmail.com | (802) 373-2909

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