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First Time Clients

*Please complete the new client paperwork for each individual attending therapy and e-mailn (info@_____________________) or fax (888.491.1341) the completed documentation to our office before your first scheduled visit.

We have provided the PDFs in electronic format so they can also be completed using Preview (Apple) or Adobe Reader (Windows). Please Note: Some pop-up blockers may need to be disabled in order to allow the Save document window to open.

Insurances Accepted

PRIVATE INSURANCE:

AETNA
AETNA EAP
COVENTRY
HUMANA
HUMANA EAP
MHNET
MHNET EAP
HARMONY
GUIDANCE RESOURCES
COMPSYCH EAP

MEDICAID

SUNSHINE/CENPATICO
WELLCARE
STAYWELL
HEALTHEASE
STRAIGHT MEDICAID/FULL MEDICAID

New Client Forms
You many download this form, fill it out at home, and bring it with you to your first appointment.

patient information form
adult assessment
bdi inventory
self evaluation questionnaire
client rights
consent form
consent regarding privacy practices
limits of confidentiality
lw introduction letter
authorization -hippa n roi consent

New Child/Adolescent Forms
Please download and complete this form when the client is under the age of 18.

patient information form
child assessment
CDI depression inventory
client rights
consent form
consent regarding privacy practices
limits of confidentiality
lw introduction letter
authorization -hippa n roi consent

Client Face Sheet /Information Update Forms
Use this form to help us keep our records updated with your current contact and billing information. Completed forms may be mailed, faxed, or dropped off in person.

client referral form
patient information form
Release of Information Forms
Due to confidentiality constraints, we cannot communicate with anyone about client information (even to acknowledge we are seeing a client) without the consent of the client (or parent/guardian of a client). Use this form to provide consent for your counselor to provide any information to a third party.

LW Release of Information form
Authorization-hippa n roi

Andrea is a therapist that I recommend to family and friends alike. She is always punctual, professional, and has great insight into every conceivable situation.

As a mental health therapist and behavioral health manager, Andrea demonstrates a high level of integrity and expertise. She knows how to make clients feel comfortable in order to solicit the information required to move them through the healing process. She is extremely personable and gets great results.

Andrea Garwood is a person that can always be counted on when there is work to be done. She is a person who is a team player. As a manager she works hard to develop and support her team. I always found Andrea willing and able to go the extra mile. Her clinical skills are sound and she is always looking for best practice methods. I have been honored to have worked with her.

Andrea counseled my daughters during a very critical time. She was approachable and loving. I also went to her as a counselor and she gave practical advice that yielded great results. I would definitely recommend her for counseling on any level - critical and crisis counseling and couples/family counseling.

Start Here

First Time Clients

Insurances Accepted

Contact Info