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New Clients

PLEASE FOLLOW THE LINK BELOW TO COMPLETE OUR CURRENT INTAKE FORM ONLINE OR DOWNLOAD A COPY FOR YOUR PERSONAL RECORDS. 

Client Intake Form

Release Form

Consent Form

Billing Form

Rights Form

A Telehealth Wellness Center

Serving the States of:

Indiana, Kentucky, 

Virginia & Washington D. C.

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Call Today:

Kentuckiana: 812-725-1089 

DMV: 202-975-8668

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