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Provider and Partner Services Intake Form

Please fill out our Service Provider Intake Form
so that we can refer your services to the clients that need them!

Clover Advocates, LLC 2021 | www.cloveradvocates.com
DISCLOSURES:Clover Advocates, LLC does not provide tax, legal, financial, or medical advice. You should consult appropriate professional advice or consultation if you have questions related to taxes, investment, legal or disability requirements. Clover Advocates, LLC does not make any representations regarding the appropriateness or suitability of any securities, products, investments, or services. Any information on or in our website, presentations, blogs, or marketing materials, relating to any Program is provided for general education purposes only and should not be used or interpreted by anyone for any other purpose. Any link from this website to a third-party website, including any link to a website of any Program website is not an endorsement or recommendation of such Program, nor is it a statement or opinion as to the accuracy or completeness of any information.

The services to be provided by Clover Advocates, LLC to the client are in-person consultation, video or tele-coaching, as designed jointly with the client. Consultation, which is not advice, therapy, or counseling, may address specific personal information about the client and individuals to whom the client has legal guardianship, conservatorship or power of attorney.The information you reveal to us during free and paid consultation services will be kept confidential and will not be released to anyone without your written consent.

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