Forms
Prior to your scheduled appointment, please print and complete the Disclosure Statement and Intake Form.
| Download Disclosure Statement | Download Intake Form |
| If you are having thoughts of suicide please call the Alliance Access Crisis Line, available 24 hours a day at (800) 510-9132, and a licensed clinician will evaluate your situation and assist you in finding the right kind of help. If you are experiencing a medical emergency, call 911 for immediate help. |
If you have questions regarding Wellness Services, please send inquiries to [email protected] (919-886-5942).