Please use the following forms to prepare for your first appointment:

Communicating with your insurance company

Adult Intake Assessment

Living Well Counseling Billing Information

Child Adolescent Intake Assessment

HIPPA Notice of Privacy

Informed Consent for Treatment

 

BARIATRIC MENTAL HEALTH EVALUATION FORMS:

Bariatric Intake Assessment

Baritraic Assessment Addendum

Living Well Counseling Billing Information Baritric Evaluation

Communicating with your insurance company

HIPPA Notice of Privacy