Please download and complete the following forms before your first appointment.
Prefer Digital Forms?
The fastest way to complete our patient forms is through our Client Portal (requires an initial invitation). You'll receive an invite via email when scheduling your first appointment. Forms are also available for download below.
Access Client Portal →Counseling
New Counseling Patient Packet
This packet includes all required forms for new counseling patients. Please complete this packet if you are brand new to counseling services with us and do not plan to utilize our Client Portal.
Download PDFPatient Information Intake
Please complete this intake document and bring it to our first session. This packet will help us get to know you and how we can help.
Download PDFCounseling Informed Consent
This document includes information on treatment and general policies. Please read and sign the signature page and bring it to our first session.
Download PDFNotice of Privacy Practices (NPP)
Please read these practices so you are informed about your information. Sign the signature page and bring it to our first session.
Download PDFPayment Agreement
Please sign and complete this form that reviews payment of services, and bring it to our first session.
Download PDFTelehealth Informed Consent
Please review and sign this form if you are planning on using telehealth services with your clinician.
Download PDFWalk and Talk Therapy Release
Please sign this release and bring it to our first session if you are interested in Walk and Talk therapy services.
Download PDFMinor Custody Documentation
Please complete this form if you are the parent/legal guardian of a minor that will begin counseling services.
Download PDFMedication Management
New Medication Patient Packet
This packet includes all required forms for new medication patients. Please complete this packet if you are brand new to medication management services with us and do not plan to utilize our Client Portal.
Download PDFMedication Management Informed Consent
Please review and sign this form if you are interested in and/or have scheduled Medication Management services.
Download PDFNotice of Privacy Practices (NPP)
Please read these practices so you are informed about your information. Sign the signature page and bring it to our first session.
Download PDFPayment Agreement
Please sign and complete this form that reviews payment of services, and bring it to our first session.
Download PDFTelehealth Informed Consent
Please review and sign this form if you are planning on using telehealth services with your clinician.
Download PDFCouples & Family
Couples/Family Intake
For couple or family services, please complete this intake packet and bring it to our first session. Please complete one packet per person — responses will remain confidential.
Download PDFCouples/Family Informed Consent
This packet includes information on treatment and general policies specific to couple or family services. Please read and sign the signature page and bring it to our first session.
Download PDFNotice of Privacy Practices (NPP)
Please read these practices so you are informed about your information. Sign the signature page and bring it to our first session.
Download PDFPayment Agreement
Please sign and complete this form that reviews payment of services, and bring it to our first session.
Download PDFMassage Therapy
Massage Therapy Questionnaire
Please complete this questionnaire if you are interested in and/or have scheduled Massage Therapy services.
Download PDFMassage Therapy Consent & Waiver
Please review and sign this form if you are interested in and/or have scheduled Massage Therapy services.
Download PDFPayment Agreement
Please sign and complete this form that reviews payment of services, and bring it to our first session.
Download PDFHealth & Wellness
Health Coaching Questionnaire
Please complete the questionnaire and bring it with you to your first Health Coaching session.
Download PDFHealth Coaching Consent & Waiver
Please review and sign this form if you are interested in and/or have scheduled Health Coaching services.
Download PDFYoga Services Consent & Waiver
Please review and sign this form if you are interested in and/or have scheduled Yoga services.
Download PDFPayment Agreement
Please sign and complete this form that reviews payment of services, and bring it to our first session.
Download PDFAdditional Forms
Notice of Good Faith Estimate
This document is for review only and does not require a signature. If you plan to pay privately because you are uninsured and/or do not choose to use your insurance benefits, please review your rights in this document.
Download PDFRelease of Information
Please complete and sign this form if you would like us to discuss your treatment with any other professionals, such as a psychiatrist, previous therapist, physician, etc.
Download PDFPatient Feedback
We value your feedback and continuously strive to improve our services. If you are a current or former patient, please consider sharing your experience.
Patient Survey
Share your experience with Wright Wellness to help us better serve our community.
Take Survey →Questions about forms? Contact us.