WS Admission New Client Appointment Forms

https://form.jotform.com/210883713235151https://form.jotform.com/21088...

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How To Complete The Client Intake Documents:

  • Make sure you complete your ABC's. The WS Admission New Client Appointment Forms are separated into four sections. (The Appointment, Admin, Billing, & Consent Forms are separated because - who needs to sign what depends on the age of the client, guardianship, and type of services you are requesting.) 
  • All adult clients must have an Appointment, Admin, Billing, & Consent Document Signed. (AAB&C)
  • All Minor client must have an Appointment, Admin, Billing, & Consent Document Signed by one parent AND a Consent Document Signed by the other parent. (AAB&C and C)

WS Appointment Request Form

WS Admin Registration Form

WS Billing Registration Form

WS Consent Registration Form

Intake Documents FAQ:

  • We do NOT send our client documents in a format where they are printed, filled out, and signed with paper and pen.  
  •  If you do not want to complete intake documents or if you do not want to complete the online forms we respect your choice, however; we will be unable to accept you as a new client. This includes completing the intake documents incorrectly, providing incorrect or false information, or refusing to provide required information on the intake documents.
  • You will receive an email confirmation for each completed online form. The email confirmation will also provide you with a PDF copy of the completed online form. 
  • We will receive your information and contact you as soon as we are able to provide you with a new client appointment. For detailed information please see the information on our website regarding the new client intake process. If we are unable to provide an appointment within 14 days than the request will expire because the schedule availability of the client was not consistent with the schedule availability of clinical staff. 
  • For minor clients - BOTH PARENTS ARE REQUIRED TO SIGN THE CONSENT FORMS! There are no exceptions. You can find this information by clicking the following link WS Services to Minors with Contested Custody and Consent Policy . In short, we apologize for any inconvenience obtaining the consent of both parents may require. It is certainly not our intention to be intrusive to your personal relationships or family dynamics. Texas law requires that we complete a thorough attempt to obtain proper informed consent with due diligence and ensure that anyone who is providing consent for treatment of a minor for non-emergent mental health services does so. We are merely following the state law by ensuring that we are providing care to a minor that has the consent of the guardians who are permitted to give that consent. In the event there is no custody decree in place by the courts it is imperative that we have documentation to substantiate we made every effort to include both guardians in the consent process. If you feel uncomfortable with this intake requirement we understand your apprehension and respect your decision to choose another provider. 
  • WS emphasizes quality of care and not "quantity of care" which means we stagger new client admissions. We make every effort to help everyone we are reasonably able to provide care for and help. We also ensure that we admit new clients whom we have a dedicated time in our clinical calendars to serve. This allows our current clients the reassurance that they will receive the time their situation deserves with compassion and attention to detail. Conversely, this may result in WS not being able to admit all clients who request an appointment. WS cannot "guarantee" an appointment to everyone who requests an appointment or completes intake documents. WS makes every effort to accommodate as many requests as we can within reason.  It is out of respect and dedication to our current clients and the importance of the therapeutic relationship that we do not treat client cases like 'numbers' instead of people. We believe in the privileged position of the therapeutic relationship in the lives of our clients and only accept new clients when we can dedicate the time needed to provide care throughout the therapeutic process. Many who provide open admission may be faster to provide a first appointment but scheduling subsequent appointments with consistency can be challenging. For this reason we stagger admissions and accept clients when we can dedicate and commit to the case with consistency, quality, and responsibility. Additionally, we recommend that individuals pursuing care continue to do so until they are able to secure and confirm an appointment in order to avoid an unnecessary delay of care that could lead to continued suffering while waiting for an appointment.  WS takes a careful and considered approach to each client's individual journey as part of our values, philosophy, and ethics. We will make great effort to help our clients and to try and be instruments for healing as a calling. Our decision to stagger the admissions process is a direct result of the quality of care we emphasize in care. We accept that this may result in limiting the number of new clients we can admit and believe that our client community finds comfort and value in our commitment to their healing process. 

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