Family Wellness Associates
Welcome to Our Place
Making Memories
Mental Health Services
Meet Our Mental Health Team
Couples Counseling
DBT
PCIT
EMDR
BHIS/HCBS Services
Behavioral Health Team
HCBS Services
Substance Abuse Treatment and Team
Employment Opportunities
Intake Forms
Additional Resources
TELEHEALTH
Contact
What to expect for your initial appointment
Arrive 30 minutes early
Please have a current ID
Any active insurance cards
Below are the intake paperwork
At the time of referral there is an option for online paperwork.
Required (Individual) Intake Forms
Intake Packet
File Size:
162 kb
File Type:
pdf
Download File
Release of Information (Fill-in Person or Organization)
File Size:
385 kb
File Type:
pdf
Download File
PHQ-A Assessment Fill-in Form (Ages 11-17)
File Size:
317 kb
File Type:
pdf
Download File
GAD-7 Assessment Fill-in Form (Ages 18+)
File Size:
32 kb
File Type:
pdf
Download File
PHQ-9 Assessment Fill-in Form (Ages 18+)
File Size:
120 kb
File Type:
pdf
Download File
Required (Substance Abuse)
Intake Forms
Intake Packet
File Size:
159 kb
File Type:
pdf
Download File
AUDIT
File Size:
381 kb
File Type:
pdf
Download File
MAST
File Size:
127 kb
File Type:
pdf
Download File
DAST
File Size:
115 kb
File Type:
pdf
Download File
Welcome to Our Place
Making Memories
Mental Health Services
Meet Our Mental Health Team
Couples Counseling
DBT
PCIT
EMDR
BHIS/HCBS Services
Behavioral Health Team
HCBS Services
Substance Abuse Treatment and Team
Employment Opportunities
Intake Forms
Additional Resources
TELEHEALTH
Contact