If you are in crisis, please call 911 or go to the nearest emergency room
If you are in crisis, please call 911 or go to the nearest emergency room
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NOTE:
Please allow enough time (approximately 30 minutes) to fill in the forms. Once you begin filling in the forms, you must complete each one, in its entirety, as there is not an option that allows you to "Save" and return at a later time.
Once you have clicked on the appropriate link below (Adult Packet or Child/Adolescence Packet), you will be directed to a secure and encrypted site. Please fill in an answer for each question on each form.
Please fill out the New Client Registration Form (if you have not already given this information via phone to our Intake Specialist or to a Therapist, previously.)
If you need any assistance, please contact your individually assigned therapist, fill out the Contact form, or leave a message at 586-997-3153.
Thank you,
The Wentworth and Associates Staff

Separated forms(completed when directed by therapist)

Separated forms(completed when directed by therapist)

Other
Advance Directives Information
mdch_AdvanceDirectivesPamphlet
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