Alcohol Or Drug Abuse Counseling

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10/17/2007
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ALCOHOL OR DRUG ABUSE COUNSELING ________________________________ (Name of the Husband or Wife), the ________ (Husband or Wife) agrees to attend counseling with ____________________________ (Name of Counselor) beginning no later than _______________ (Date) and extending for at least ________ (Number) months. This counseling is for the treatment of his/her alcohol/drug dependence. This counseling will be a further attempt to strengthen the marriage and manage resources effectively. ________________________________ Signature of Wife _____________________ Date ________________________________ Signature of Husband _____________________ Date _______________________________ Signature of Witness _____________________ Date

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