Canaan, Lebanon, & Telehealth - Talking Helps: (603) 523-8804

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    • Home
    • Meetings / Education
      • SMART Family & Friends
      • Events & Education
      • Group Meetings
      • H.A.L.O. Book Club
    • Professionals
      • Professionals
      • Resources
    • DOT - SAP Services
      • DOT-CDL Compliance
      • DOT - SAP Process
      • How To Designate an SAP
      • FAQ'S
      • Contact
    • About Us
      • About Us
      • Our Team
    • Help is Here
      • Help is Here
      • Want to Help Others
    • Contact H.A.L.O.
    • Forms
  • Home
  • Meetings / Education
    • SMART Family & Friends
    • Events & Education
    • Group Meetings
    • H.A.L.O. Book Club
  • Professionals
    • Professionals
    • Resources
  • DOT - SAP Services
    • DOT-CDL Compliance
    • DOT - SAP Process
    • How To Designate an SAP
    • FAQ'S
    • Contact
  • About Us
    • About Us
    • Our Team
  • Help is Here
    • Help is Here
    • Want to Help Others
  • Contact H.A.L.O.
  • Forms

Forms

All Forms are available as .pdf or .docx formats

Cancellation notice (pdf)

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Cancellation notice (docx)

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Release of Info H.A.L.O. (2) (pdf)

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Release of Info H.A.L.O. (2) (docx)

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Informed Consent (pdf)

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Informed Consent (docx)

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Health Questionnaire H.A.L.O. (pdf)

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Health Questionnaire H.A.L.O. (docx)

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HALO TELEHEALTH (pdf)

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HALO TELEHEALTH (docx)

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HALO 20 HIPPA acknowledgement (pdf)

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HALO 20 HIPPA acknowledgement (docx)

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HALO - ALL FORMS (pdf)

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HALO - ALL FORMS (docx)

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HALO Professional Referral (docx) (docx)

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Resources

Formula and Breastfeeding Resources (pdf)

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Sip & Paint

Come join us for a relaxing evening of sipping non-alcoholic drinks and painting.

Location: 44 Roberts Rd Canaan, NH 03741

Friday September 26th

5:00p - 6:30p

For questions contact Lindsey @ 603-523-8804