If you're a new client, please complete the following forms and bring them to your first therapy session.
- WTCA Orientation Packet (Print and keep for your records. Be sure to complete the last page and bring to your first session.)
- WTCA Intake Form
- Client Intake Form/Questionnaire
- WTCA Medication List
If you would like me to share the results of your substance use assessment/evaluation, treatment plan or your progress with an attorney, judge or Probation Officer, etc., please complete this form to authorize release of your information.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
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