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Finding Peace Counseling LLC
Finding Peace Counseling LLC
  • Home
  • About Us
    • Our Team
    • Mindy Falkner-Wann, LMFT
    • Lilly
  • Services
  • Resources
    • Patient Forms
    • Rates & Insurance
  • Contact Us
  • More
    • Home
    • About Us
      • Our Team
      • Mindy Falkner-Wann, LMFT
      • Lilly
    • Services
    • Resources
      • Patient Forms
      • Rates & Insurance
    • Contact Us

EN

  • Home
  • About Us
  • Services
  • Resources
  • Contact Us

Patient Forms

 Please bring the below forms completed, your insurance card, and a valid form of photo ID (i.e. passport, drivers license) with you to your first appointment and remember to arrive at least 15 minutes early.


If you are coming in for couples, relationship, or marriage counseling, please individually complete the Intake Information and the Presenting Information forms for each of you.

New Patient Packet (pdf)Download

Individual Files

Individual pieces of the New Patient Packet can be downloaded below.

Welcome Letter (pdf)Download
Client Information Sheet (pdf)Download
Insurance Coverage (pdf)Download
Intake Information (pdf)Download
Notice of Privacy Practices (pdf)Download
Informed Consent for Treatment-Fee Schedule (pdf)Download
Presenting Symptoms (pdf)Download

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