First Visit Forms -Behavioral Health and Wellness Clinic

Clinic Waiting RoomOn your first visit to the Behavioral Health and Wellness Clinic (BHWC), you will fill out a brief form (either for yourself or your child) describing your symptoms. You will also sign other documents indicating your consent to treatment and acknowledgment of policies and practices of the BHWC. You will be mailed a “new patient” packet of information, or you have the option of downloading it here. Please complete the forms prior to arrival for your appointment.

Intake Interview: Please allow approximately 3 hours for your Intake Interview. The appointment will consist of obtaining your Informed Consent to receive services, extensive history taking, and the administration of preliminary assessment tools that will assist us in planning your care.

Clinic Intake Forms
Please print and read all of the forms, and fill out any information required, but please do
not sign any forms prior to coming in for the first visit. For your convenience, we have bundled all the forms you need for the first appointment here:

First Visit Forms (click here)

(All documents are PDFs and require a PDF reader to view. Adobe Reader can be downloaded here)