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Hands Holding Plant

The journey of a thousand miles

must begin with a single step.

~ Lao-Tzu

Forms

If you are a new client, welcome to Wings of Change!

Please complete the following forms and bring them to your first therapy session. If you are receiving Telehealth, you can sign each of the documents and either return them electronically to the practice owner, Carol A. Corbett, Ph.D., at cthomas@wingsofchangellc.com, or you can drop them in the mail to our Emmaus address.

We will need to have all documentation signed and returned prior to your first scheduled appointment.

Cancellation Policy

Limits of Confidentiality

Notice of Privacy Practices (HIPPA)

Therapeutic Contract

Telehealth Informed Consent

Credit Card Authorization Form

 

 

 

 

Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms

Click here to view and print forms for your appointment.

Click Here