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

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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

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

Download File

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

Download File

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

Download File

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All completed paperwork can be returned by
Email: [email protected]
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)