Intake & Consent.
Download, complete, and return securely. The form covers patient information, services requested, and standard informed-consent acknowledgements for psychiatric care.
Download the Intake & Consent form.
Print, complete with the patient or their authorized representative, sign, and return securely by encrypted email. Most fields are check-boxes — typical completion takes 5–10 minutes.
How it works.
Four steps from form to first visit.
Download & Complete
Patient or authorized representative fills in basic information and selects requested services.
Sign & Return
Return securely with insurance card and any representative-authority documentation.
Eligibility Check
We verify coverage and confirm a clinically appropriate visit type.
First Visit Scheduled
You'll receive confirmation of your initial 60–90 minute psychiatric evaluation.
In a behavioral or medical emergency
Wolf Laurel Mental Health & Wellness does not provide 24/7 emergency response. If you or your loved one is in crisis, please call 911 for medical emergencies or 988 for the Suicide & Crisis Lifeline. Facility-based patients should follow the facility's emergency procedures.
Questions before you sign?
We're glad to walk through anything on the form before you complete it.
Email the Intake Team