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Forms to Print Prior to Your First Visit:

Client Information Form

Client Agreement Form

Consent to Treatment Form

Notice of Privacy (HIPAA)

Disclosure Authorization

 

-OR-

ZIP File

(Contains all Above Forms)

 

 

You will need ADOBE Acrobat Reader in order to view/print the forms above.  If needed, click HERE to download for free

 

 

 

How do I get started?

If you have questions about my services, or to make an appointment, please give me a call at 302-376-5259

During your initial visit, we will discuss the reasons for your visit and conduct an evaluation. If we decide together that your treatment plan includes additional counseling, we will schedule your next visit(s).  

If your treatment plan involves services outside of our scope, we will make appropriate referrals to alternative or additional mental health professions.

Preparing for Your First Visit

If you have health/medical insurance that specifically covers mental health benefits, please be sure that you contact your service provider to:

bullet Verify your coverage;
bullet Determine the number of visits you are allowed (if applicable); and
bullet Ensure that Denise C. Wall, LCSW is a covered provider under your plan benefits - or that you are permitted to use a provider "outside of network".

If you have had previous counseling treatment and/or are currently seeing a medical professional for a clinical diagnosis related to your counseling needs, please bring a list with their name(s) and contact information (mailing address, phone and/or fax numbers). Doing so will ensure that you receive continuity of care.

Please be prepared with your photo identification, insurance card and/or EAP information.

Because there will be forms to fill out prior to our first visit, please plan to arrive 10-15 minutes prior to your scheduled appointment time. If you would like to pre-print and complete our intake forms prior to your visit, you may do by checking the links to the left..

If your appointments is for your minor child, please be sure to complete the intake forms on their behalf. You may also wish to review THIS document with them, prior to the appointment.