Inspired Therapeutic Solutions
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Forms
​

​​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. 
Counseling Intake Documents
F102A - Registration form for Individuals
File Size: 60 kb
File Type: doc
Download File

F102B - Registration form for Couples or Families
File Size: 69 kb
File Type: doc
Download File

F104 Consent to Treatment v8132020
File Size: 40 kb
File Type: doc
Download File

f103_billing_and_payment_agreement.pdf
File Size: 394 kb
File Type: pdf
Download File

Wellness Coaching Intake Documents
wellness-intake-form.pdf
File Size: 358 kb
File Type: pdf
Download File

holistic_and_alternative_approach_agreement.pdf
File Size: 636 kb
File Type: pdf
Download File

four_part_mood_adrenals_w_scoring_v82620_hide-_electronic.xlsx
File Size: 302 kb
File Type: xlsx
Download File

Wellness Coaching Reassessments or In-Depth Assessments
four_part_mood_adrenals_w_scoring_v82620_hide-_electronic.xlsx
File Size: 302 kb
File Type: xlsx
Download File

wellness-intake-form.pdf
File Size: 358 kb
File Type: pdf
Download File

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  • About
  • Our Services
    • Counseling >
      • Couples & Pre-Marital
      • Body Based Interventions
      • Identity Expression and Esteem
  • Our Philosophy
    • Body Based Philosophy
  • Our Staff
    • Counselors (Psychotherapists) >
      • Counseling Advisors
    • Coaching
    • Consultants >
      • Consultants Advisors
    • Lifestyle Medicine Coaches
    • Business Operations
  • Scheduling Appointments/Intake
    • Scheduling Appointments
    • Counseling Individual Consultation Form
    • Counseling - Couple/Partner Consultation Form
    • Coaching/Hypnotherapy Session(s)
    • Intake & Assessments - Forms
  • Healthy Love for the Self and Others
  • Contact Us
    • Clinical Referrals
  • Staff Log-In