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To make an appointment, please give us a call at 302-376-5259

During your initial visit, we will discuss the reasons for your visit and conduct an evaluation. If we decided 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 so below.
  • 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.

Forms to Print Prior to Your First Visit:

Client Information Form

Client Agreement Form

Consent to Treatment Form

Notice of Privacy (HIPAA)

Disclosure Authorization Form

ZIP FILE - CONTAINS ALL OF THE INDIVIDUAL FORMS LISTED ABOVE

 

You will need ADOBE Acrobat Reader in order to view/print the forms above. 

If needed, click HERE to download for free

This new version of Adobe Reader Includes Support for Mac OS.

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Denise C. Wall, LCSW, LLC © 2006-2010
610 Main Street     |     PO Box 514
Odessa, Delaware 19730
(302) 376-5259

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