top of page
TAMARA WADE LCSWPC
New Client Forms

Intake Packet
If you're a new client, please complete the following forms and bring them to your first therapy session.

Authorization Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.

Credit Card Authorization Form
If you would like to use a credit card as a form of payment, I will leave your credit card on file. Please complete the form below.

Telehealth Consent Form
If you receive any Telehealth Services, please complete the following form.

Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
bottom of page