Wellness Counseling Center, LLC

Forms

Forms

For your convenience, you can complete the Biographical Information Sheet on-line. If you are unable to do this, please arrive to your initial appointment 15 minutes early to complete the form in office.

Complete Biographical Information Sheet for Elena Earl

Complete Biographical Information Sheet for Laura Griffin

Complete Biographical Information Sheet for Bedford Hines

Complete Biographical Information Sheet for Sally Hudson

Complete Biographical Information Sheet for Diane Wizner

  • Use the username and password provided by our office staff to log-in and access your account
  • Click on Complete a Biographical Information Form – it cannot be saved if partially completed so make sure you have enough time to complete the form once you begin. It will take about 15 minutes to complete.
  • Once you’ve completed the form, it will automatically be sent to your counselor. No need to print a copy to bring it with you.
  • If the identified client is a minor, a parent or guardian should assist where necessary.
  • If more than one person will be attending the session, have each person fill out their own form. The same log in will be used for all attendees.

Thank you and we look forward to seeing you soon.

If you are having problems logging in to your account, the forms can be printed by clicking below.

1. Biographical Information Sheet

2. Notice of Privacy Practices