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Welcome to Wisemind Solutions: Here Are Your Forms




To make the most of your appointment time please complete the following forms prior to your visit


Informed consent

Treatment agreement

Consent for Telehealth consultation

Consent for Minor Use of software (when applicable)

Wisemind Solutions Intake Questionnaire

Financial Responsibility Form

Release of Information


If you are being seen for testing. You will also need to complete the following

Psychological questionnaire for adults

or

Psychological questionnaire for minors


We are looking forward to working with you to have you feeling wise and well.

See you soon Dr. Nadene Chambers




 
 
 

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Phone:  (561)-255-7239

Fax: (561) 666-1008

Email 

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© 2023 Powered by Nadene Chambers, Psy.D. 

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