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Behavioral Health and Wellness Clinic

Department of Psychology

First Visit Forms

IntakeOn 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.

Clinic formsIntake 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.

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:

New Client Form Part 1
New Client Form Part 2
Email Consent Form

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