Resources

Resources

Below are additional resources that we believe will be helpful to you. You can print and complete these forms before your first appointment or complete them in the client portal.

FORMS

Insurance
Pre-Screen

The insurance pre-screen can be filled out electronically and emailed back to the therapist. If you plan on using insurance to pay for therapy, we will need to verify your benefits and eligibility prior to the first meeting.

Download

Informed
Consent Contract

The informed consent contract covers all of the policies and procedures of Mended Wing Counseling. Please initial the top of each page and sign on the last page. You can scan the signed contract and email back to the therapist prior to the first meeting, if it is easier for you. You may also sign this electronically via Adobe Acrobat, and email this back to your therapist directly.

Download

Release
of Information

A release of information will need to be filled out and signed for your insurance company and any other providers, if applicable. You can scan the signed release and email it back to the therapist, if it is easier for you.

Download

Other Resources


Phone and Text Support

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