Forms
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Congratulations you have finished Steps 1 & 2 of 3!
This is Step #3! |
Our approach to wellness is holistic therefore we are assessing your needs for counseling and coaching to hit your overall wellness goals. Therefore, below you will find 2 categories of documents 1) intake documents and 2) reassessments. Intake documents are both informational i.e. intake forms and assessments of your current state of wellness at intake.
For New clients, you will need both types of intake documents: the Counseling Intake and Wellness Coaching Intake Documents; please fill out both document categories for an intake. That will be 6 documents in total. These documents are crucial so that you received adequate and holistic care. (For Couples and Families there needs to be 1) content to treat, 2) all wellness coaching documents (3 wellness assessment for each person) for each person being treated; and 3) Registration for Couples or Families.)
Existing clients will need to fill out the "reassessment documents" through their care.
Please let us know if you have questions or concerns or need support filling out any of these documents.
For New clients, you will need both types of intake documents: the Counseling Intake and Wellness Coaching Intake Documents; please fill out both document categories for an intake. That will be 6 documents in total. These documents are crucial so that you received adequate and holistic care. (For Couples and Families there needs to be 1) content to treat, 2) all wellness coaching documents (3 wellness assessment for each person) for each person being treated; and 3) Registration for Couples or Families.)
Existing clients will need to fill out the "reassessment documents" through their care.
Please let us know if you have questions or concerns or need support filling out any of these documents.
Counseling Intake Documents
| F102A - Registration form for Individuals |
| F102B - Registration form for Couples or Families |
| F104 Consent to Treatment v8132020 |
| f103_billing_and_payment_agreement.pdf |
Wellness Coaching Intake Documents
| wellness-intake-form.pdf |
| holistic_and_alternative_approach_agreement.pdf |
| four_part_mood_adrenals_w_scoring_v82620_hide-_electronic.xlsx |
Wellness Coaching Reassessments or In-Depth Assessments
| four_part_mood_adrenals_w_scoring_v82620_hide-_electronic.xlsx |
| wellness-intake-form.pdf |