Client Forms and Teletherapy

The WGRC offers tele-therapy services. These services are available to current clients who have seen us in person, as well as new clients. These services are limited to clients in the state of Alabama based on our therapists’ licensure guidelines. If you are a current client and are in Alabama, you may go ahead and complete forms at your convenience.

Are you a new client? New clients should call the WGRC Monday-Friday, 8 a.m.-5:15 p.m. to set an appointment before completing any forms.

Safety

We encourage clients to think through their own safety in engaging with these services. For instance, if you do not have a private area in your home in which to participate in therapy sessions or if you cannot safely access the client forms online, it may be better to call our office and discuss your situation with a staff person before initiating this process. We are still able to see clients in person based on safety or technology issues.

Accessibility

We have made an effort to make these forms accessible to all users. If the forms do not meet your accessibility needs, call 205-348-5040 during our regular business hours for assistance.

Forms

For clients needing to consent to tele-therapy (current or new clients):

Telemental health consent DocuSign

For new clients who have called to schedule an appointment:

New client intake forms DocuSign

If you would like the WGRC to contact a service provider on your behalf:

Release of information DocuSign

If you previously signed a release of information but would like to revoke it:

Release of information revocation DocuSign