Roberta Hammond and Associates, LLC

Contact Us

Roberta Hammond and Associates, LLC
1344 Woodman Dr

Dayton, OH 45432

Phone: (937) 252-7336

Fax: (937) 424-0280

Satellite Office

69 N. Dixie Dr.

Vandalia, OH 45377

Office Hours

Available By Appointment - Some Evenings & Weekends

Questions about our counseling services? Check out our FAQs.

Client ID
2-Client Info-Rivision (1).pdf
Adobe Acrobat document [17.7 KB]

Client Data
Client Data Form.pdf
Adobe Acrobat document [78.0 KB]

Client Data - Youth
Client Data Form youth.pdf
Adobe Acrobat document [64.6 KB]

Confidentiality Statement
NOPP 7-22-13 FINAL _1_.pdf
Adobe Acrobat document [191.7 KB]

Acknowledge Receipt of Privacy Practices
receiptandacknowledgementofnotice.pdf
Adobe Acrobat document [96.2 KB]

Practice Policies and Treatment Consent
treatment consent.pdf
Adobe Acrobat document [88.7 KB]

Teletherapy.docx
Microsoft Word document [16.7 KB]

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