Patient Forms

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.

This document includes information on treatment and general policies. Please read and sign the signature page and bring it to our first session.

Please sign and complete this form that reviews payment of services, and bring it to our first session.

Please read these practices so you are informed about your information. Sign the signature page and bring it to our first session. 

This packet includes all required forms for all 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.

This packet includes all required forms for all 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.

This document is only for review, 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 for our services, please review your rights in this document regarding a Good Faith Estimate.

Please review and sign this form if you are interested in and/or have scheduled Medication Management services.

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. This packet will help us get to know you more and how we can help.

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. This packet can be signed by more than one individual, one packet per family or couple is sufficient.

Please sign this release and bring it to our first session if you are interested in Walk and Talk therapy services. 

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.

Please review and sign this form if you are planning on using telehealth services with your clinician.

Please complete this questionnaire if you are interested in and/or have scheduled Massage Therapy services.

Please review and sign this form if you are interested in and/or have scheduled Massage Therapy services.

Please review and sign this form if you are interested in and/or have scheduled Yoga services.

Please review and sign this form if you are interested in and/or have scheduled Health Coaching services.

Please complete the questionnaire and bring it with you to your first Health Coaching session.

Please complete this form if you are the parent/legal guardian of a minor that will begin counseling services.

Please answer this anonymous patient survey if you have completed services at Wright Wellness. We value any and all feedback.

**Disclaimer: By completing and sending this form, you agree for your anonymous answers to be shared and used for business purposes.