New Clients

If you have an upcoming appointment scheduled at WCMHC, it is recommended that you complete the appropriate paperwork prior to your appointment and bring it with you to the office. This will allow the clinician you will be seeing to review the information beforehand and spend more time discussing your current concerns and treatment options during the appointment.

New Client forms can now be completed using Adobe Acrobat Reader and submitted via email. Please download the applicable forms below and click here for instructions on how to sign electronically. Once finished, please email the completed documents to forms@wcmhc.com.

If you do not yet have an appointment scheduled with us at WCMHC or have questions about how to submit your new client forms, please contact the office.

Click to read the WCMHC Notice of HIPPA Privacy Practices

Mental Health (MH) & Substance Abuse (SA) Screening:

Winchester & Strasburg, Virginia Office Locations:

Adult MH& SA Screening Forms (18 years of age and older):

Virginia Adult MH & SA Screening Packet

Children/Adolescent MH& SA Screening Forms ( 17 years of age and younger):

Virginia Child/Adolescent MH & SA Screening Packet

Inwood, West Virginia Office Locations:

Adult MH& SA Screening Forms (18 years of age and older):

West Virginia MH & SA Screening Packet

Children/Adolescent MH& SA Screening Forms (17 years of age and younger):

West Virginia Child/Adolescent MH & SA Screening Packet

Therapy Clients:

Winchester & Strasburg, Virginia Office Locations:

Medication Management Clients: (PACKETS COMMING SOON!!!)

Winchester & Strasburg, Virginia Office Locations:

Adult Forms (18 years of age and older):

Children/Adolescent Forms (17 years of age and younger):

Inwood, West Virginia Office Location:

Adult Forms (18 years of age and older):
Children/Adolescent Forms (17 years of age and younger):

*If you have appointments scheduled for both Therapy & Medication Management services, please fill out both the Tele-Therapy New Client Packet and the Tele-Medication New Client Packet. However, please only fill out the appropriate New Client Medication Management Insurance Packet paperwork (as the New Client Therapy Insurance Packet paperwork is already included in the packet).