WILSON COUNSELING

WILSON PLACE

New clients MUST complete an intake packet prior to beginning their first session. You are welcome to print the packet, complete it and bring it with you for your first appointment. If you do not have access to a printer, you can arrive 30 minutes BEFORE your first appointment and complete it at the office. Please make sure all signatures are provided.

To file your health insurance, please complete the Insurance Information Sheet below. We will need a photo id, a copy of your insurance card, your date of birth and your SSN. Please be sure to bring these to your first appointment.

INTAKE FORM

ONLINE FORM OPTIONS:

FEE SCHEDULE

REFERRAL FORM

INSURANCE INFORMATION SHEET

PRIVACY AND PRACTICE POLICIES

RELEASE OF INFORMATION

REQUEST FOR RECORDS

CM CARE PLAN

JOINT CUSTODY - PERMISSION TO TREAT