Patient Forms (English)
Please download and complete the following forms before your first appointment.
Notice of Privacy Practices (NPP)
Information about how your health information may be used and disclosed.
Download PDFCouples/Family Informed Consent
Informed consent specific to couples and family therapy services.
Download PDFInformed Consent
Information about psychotherapy services, confidentiality, fees, and policies.
Download PDFTelehealth Informed Consent
Consent for telehealth video conferencing services via SimplePractice.
Download PDFPayment Agreement
Agreement to pay for professional services, AutoPay, and credit card authorization.
Download PDFNew Medication Patient Packet
Complete intake forms for new medication management patients.
Download PDFMedication Management Informed Consent
Informed consent for medication management services, policies, and procedures.
Download PDFMassage Therapy Consent & Waiver
Informed consent and waiver for massage therapy services.
Download PDFHealth Coaching Consent & Waiver
Informed consent and waiver for health coaching services.
Download PDFWalk and Talk Therapy Release
Assumption of risk and liability release for outdoor Walk and Talk therapy sessions.
Download PDFMinor Custody Documentation
Required documentation for minors named in custody agreements or court orders.
Download PDFPatient Feedback
We value your feedback and continuously strive to improve our services. If you are a current or former patient, please consider sharing your experience.
Patient Survey
Share your experience with Wright Wellness to help us better serve our community.
Take Survey →Prefer Digital Forms?
For the fastest processing, use the Client Portal to complete your forms digitally. You'll receive an invite via email when scheduling your first appointment.
Access Client Portal →Questions about forms? Contact us or call 682-777-4325.