New Clients

If you have an upcoming appointment scheduled at WCMHC, please complete the appropriate paperwork below prior to your appointment and bring it with you to the office so it can be reviewed by the clinician you will be seeing. This will allow that more time during the initial appointment can be spend on discussing the current problem areas and/or treatment options rather that obtaining the information in this packet.

If you do not yet have an appointment scheduled with us at WCMHC, please contact the office for more information regarding our current openings.

Please note that all forms need to be completed using black ink

WCMHC Notice of HIPAA Privacy Practices

Therapy Appointment
Medicaid
Private/Medicare

Medication Management Appointment*
Adult Medicaid
Adult Private/Medicare
Child/Adolescent Medicaid
Child/Adolescent Private/Medicare

*If you have appointments scheduled for both Therapy & Medication Management services, please only fill out the New Client Medication Management paperwork.