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ACCEPTING NEW CLIENTS

Forms

NEW & EXISTING CLIENT FORMS

Digital forms available at your fingertips

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Wellness Grove digital forms are fully HIPAA-compliant, secure, and provide an intuitive and dynamic experience. Should you require assistance with any of the forms, please reach out to Wellness Grove for assistance.

CLIENT ONBOARDING

As part of the client onboarding process into Wellness Grove, a client packet is required to be completed before your first scheduled appointment.

Please complete one of the client packets that represent the age of the client: (choose only one)


Client Packet (Adult)

Client Packet (Adolescent, Age 13-17)

Client Packet (Child, Age 12 & Under)

RELEASE OF INFORMATION FORMS

If the client is transferring from another provider/organization, please choose and complete one of the following forms: (choose only one)


If the client is NOT represented by a parent, guardian, or personal representative:


Release of Information

If the client is represented by a parent, guardian, or personal representative:


Release of Information (On Behalf of Client/Minor)

SAFETY & WELLNESS FORMS

Wellness Grove

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