MindWise Institute
  • Home
  • Something about Mary...
  • Coaching
  • Brain & Mind
  • Presentations
  • My little lambs...
  • Couples Therapy
  • Fees/Schedule
  • Gallery
  • Resources
  • BLOG
  • Location/Map
  • CONTACT
  • Home
  • Something about Mary...
  • Coaching
  • Brain & Mind
  • Presentations
  • My little lambs...
  • Couples Therapy
  • Fees/Schedule
  • Gallery
  • Resources
  • BLOG
  • Location/Map
  • CONTACT

​Intake Paperwork &
Mandatory Disclosures

Mandatory Disclosures
(Please, ALL clients download this file and keep for your records)
Mandatory Disclosures, Private Practice Policies
File Size: 305 kb
File Type: pdf
Download File

Intake Paperwork​
ADULT INTAKE
(for couples, please complete one per adult)

FAMILY/CHILD INTAKE
Use this form to complete by hand
File Size: 197 kb
File Type: pdf
Download File

Use this WORD DOC to complete online
File Size: 89 kb
File Type: docx
Download File

Use this form to complete by hand
File Size: 204 kb
File Type: pdf
Download File

Use this WORD DOC to complete online
File Size: 88 kb
File Type: docx
Download File

All completed paperwork can be returned by
Email: marybowles@mindwiseinstitute.com
Fax: (970)550-7555
Mail: MindWise Institute PO Box 556 New Castle, CO 81647
Text (photo): (970)319-1999 (Only during the COVID-19 outbreak)
Copyright © 2019. MindWise Institute, MindWise Corporation PO Box 556 New Castle, CO 81647