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 30-45 minutes early
Please have a current ID
Any active insurance cards
Below are the intake 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 (Couples) Intake Forms
Intake Packet
File Size:
162 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