Forms

Client Intake Form

Fill in this form before your first session and give it to your therapist.

General Consent

Fill in this form before your first session and give it to your therapist.

HIPPA Consent

Fill in this form before your first session and give it to your therapist.

Demographic Form

Fill in this form before your first session and give it to your therapist.

Office Policies

Please read this form before your first session.

Questions? Let's talk!

    Call

    Tel: 810-715-9029

    Email

    wait4utiaw@gmail.com

    Visit

    5265 Pierson Rd

    Flushing, Michigan

    48433

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