Hello,
It is a true honor that you or you and your family have invited me to continue to walk alongside you on your journey as I transition from Emmaus Family Counseling Center to Redeeming the Time Family Counseling Services--Thank You.
Logistics:
The Authorization for Use and Disclosure of Health Information Form authorizes Emmaus Family Counseling Center to transfer your full and complete health record, including all PHI to Redeeming the Time Family Counseling Services. Please Click the following link to access Emmaus Family Counseling Center's Authorization for Use and Disclosure of Health Information.
Authorization for Use and Disclosure of Health Information
Once the form is completed please upload the form to your Redeeming the Time Family Counseling Services Simple Practice Portal and email it to
If you have any questions or concerns, please do not hesitate to contact Redeeming the Time Family Counseling Services at 1 (540) 592-1782 or send an email to