Welcome to Restoring Wellness Counseling
First Counseling Appointment Checklist
Before your scheduled appointment time did you complete your…
- Counseling Intake Form– Forms are available to everyone attending counseling- adults, children (0-11), and adolescents (12-17).
- Financial Responsibility Agreement.
- Informed Consent Signature Form.
- Did you read or receive the Counseling Service Agreement and Notice of Privacy Practices (HIPPA Disclosure)? Please sign the top and bottom section of the Signature Form to confirm.
- Sliding Scale Counseling Scholarship Application- For those in need of a scholarship.
- Insurance Claim Processing Request Form- If you would like us to submit insurance claims on your behalf please complete the form.
- Insurance Card– Please have your insurance card if you would like us to submit your insurance claims.
Click here to request your forms to complete prior to your first appointment. If you did not have access to print and complete your forms, your counselor will have a packet of forms waiting for you on the main waiting room table.