Kristen Wynns Ph.D. - Psychological Solutions for Children, Adolescents & Families
child therapists cary forms

PSYCHOLOGICAL SOLUTIONS FOR CHILDREN, ADOLESCENTS & FAMILIES

Call 919-467-7777
Info@WynnsFamilyPsychology.com
130 Preston Executive Dr, Ste 202 Cary, NC 27513
9207 Baileywick Rd, Ste 203, Raleigh, NC 27615

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Welcome New Clients

Forms for Therapy, Testing, Groups, Psychiatry, & Custody Services — Children, Kids, Teens, Adolescents, & Families — Cary NC and Raleigh NC area


child psychiatrist raleigh nc Thank you for choosing Wynns Family Psychology. We look forward to helping you and your family.

In preparation for your first appointment, we encourage you to print, fill out, and sign the required forms on this page. Simply locate your service category below, and download the forms listed. Bringing completed paperwork will allow you more time with your doctor. We will discuss these documents during your first office visit and will be happy to answer any questions at that time. Also, please keep a copy of these forms as they are important informational documents.


Therapy Services Forms

Therapist-Client Mental Health Services Agreement—
blank space cary child psychologist Discusses information concerning the practice, financial
blank space cary child psychologist arrangements, confidentiality, and patients’ rights

Intake Form—
blank space cary child psychologist provides contact and insurance provider information
Child Background Form—
blank space cary child psychologist For children 17 and below
HIPAA North Carolina Notice—
blank space cary child psychologist Explains the policies and practices used to protect
blank space cary child psychologist the privacy of your health information

Consent to Communicate with WFP—
blank space cary child psychologist Discusses the methods by which you and
blank space cary child psychologist Wynns Family Psychology may communicate

Therapy FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Therapy Services


Testing Services Forms

Evaluation & Testing Services Form—
blank space cary child psychologist For psychoeducational or psychological evaluations
Early Entry to Kindergarten Background—
blank space cary child psychologist Only for early entrance to kindergarten testing
Therapist-Client Mental Health Services Agreement—
blank space cary child psychologist Discusses information concerning the practice, financial
blank space cary child psychologist arrangements, confidentiality, and patients’ rights

Intake Form—
blank space cary child psychologist provides contact and insurance provider information
Child Background Form—
blank space cary child psychologist For children 17 and below
HIPAA North Carolina Notice—
blank space cary child psychologist Explains the policies and practices used to protect
blank space cary child psychologist the privacy of your health information

Consent to Communicate with WFP—
blank space cary child psychologist Discusses the methods by which you and
blank space cary child psychologist Wynns Family Psychology may communicate

Testing FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Testing Services


Group & Camp Services Forms

Social Skills Group & Camp Registration Form—
blank space cary child psychologist For participants of social skills, study skills, etc
Therapist-Client Mental Health Services Agreement—
blank space cary child psychologist Discusses information concerning the practice, financial
blank space cary child psychologist arrangements, confidentiality, and patients’ rights

Intake Form—
blank space cary child psychologist provides contact and insurance provider information
HIPAA North Carolina Notice—
blank space cary child psychologist Explains the policies and practices used to protect
blank space cary child psychologist the privacy of your health information

Consent to Communicate with WFP—
blank space cary child psychologist Discusses the methods by which you and
blank space cary child psychologist Wynns Family Psychology may communicate

Social Skills FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Social Skills Services


DBT Group Services Forms

DBT Group Registration Form—
blank space cary child psychologist For participants of Dialetical Behavior Therapy Groups
Therapist-Client Mental Health Services Agreement—
blank space cary child psychologist Discusses information concerning the practice, financial
blank space cary child psychologist arrangements, confidentiality, and patients’ rights

Intake Form—
blank space cary child psychologist provides contact and insurance provider information
HIPAA North Carolina Notice—
blank space cary child psychologist Explains the policies and practices used to protect
blank space cary child psychologist the privacy of your health information

Consent to Communicate with WFP—
blank space cary child psychologist Discusses the methods by which you and
blank space cary child psychologist Wynns Family Psychology may communicate

Dialectical Behavior Therapy FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology DBT Services


Child Custody Services Forms

Child Custody Services Form—
blank space cary child psychologist For child custody or parenting plan consultations
Intake Form—
blank space cary child psychologist provides contact and insurance provider information
HIPAA North Carolina Notice—
blank space cary child psychologist Explains the policies and practices used to protect
blank space cary child psychologist the privacy of your health information

Consent to Communicate with WFP—
blank space cary child psychologist Discusses the methods by which you and
blank space cary child psychologist Wynns Family Psychology may communicate

Child Custody FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Child Custody Services


Additional Forms

Consent to Release Patient Info—
blank space cary child psychologist If you want us to communicate with another care
blank space cary child psychologist provider or professional, such as your medical
blank space cary child psychologist doctor, prior therapist, or psychiatrist

Credit Card Payment Consent Form—
blank space cary child psychologist If you want us to keep your credit card on file to use
blank space cary child psychologist for ongoing payments

Reunification Therapy Agreement—
blank space cary child psychologist For families seeking reunification therapy, to be
blank space cary child psychologist filled out in addition to all standard therapy forms


Additional Resources

Early Entry to Kindergarten Information—
blank space cary child psychologist Considerations, test prep suggestions, online resources,
blank space cary child psychologist WCPSS requirements, what to expect with Kindergarten
blank space cary child psychologist Readiness Testing

Mental Health Insurance Benefits "Cheat Sheet"—
blank space cary child psychologist A quick guide for finding out about your mental health
blank space cary child psychologist insurance benefits

Reduced-Fee Application—
blank space cary child psychologist For clients with a financial need
Therapy FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Therapy Services

Testing FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Testing Services

Social Skills FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Social Skills Services

Dialectical Behavior Therapy FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology DBT Services

Child Custody FAQ's—
blank space cary child psychologist Frequently Asked Questions about
blank space cary child psychologist Wynns Family Psychology Child Custody Services

Workshop Registration Form—
blank space cary child psychologist For No Wimpy Parenting & Other Workshops

Viewing these printable PDF forms requires Adobe Reader. Most computers come pre-installed with this free software. However, if you don’t have it, or need a newer version, you can download Adobe Reader here.




*Email is not a secure form of communication and confidentiality cannot be guaranteed. Emailing Wynns Family Psychology does not establish a therapeutic relationship.

Please note Wynns Family Psychology does not provide emergency services, though we make every attempt to be available as soon as possible should a crisis occur. For psychological emergencies, call 911 or go to the nearest hospital and ask for the psychiatrist on call.

Content found at WynnsFamilyPsychology.com, KristenWynns.WordPress.com, NoWimpyParenting.com, etc is only meant to provide general information. It should not be used as psychological counsel or advice, as each person's specific situation requires a custom solution.


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old search terms, then 100+ all time clicks PLUS cities PART 1

Therapist-Client Mental
blank space cary child psychologistHealth Services Agreement >>

Evaluation & Testing Services Form >>

Early Entry to Kindergarten
blank space cary child psychologistBackground Form >>

Social Skills Group
blank space cary child psychologist& Camp Registration Form >>

Dialectical Behavior Therapy
blank space cary child psychologistGroup Registration Form >>

Child Custody Services Form >>

Reunification Therapy Agreement >>

Intake Form >>

Child Background Form >>

HIPAA North Carolina Notice >>

Consent to Communicate
blank space cary child psychologistwith Wynns Family Psychology >>

Consent to Release
blank space cary child psychologistPatient Information >>

Credit Card Payment
blank space cary child psychologistConsent Form >>

Kindergarten Readiness Testing
blank space cary child psychologistInformation for North Carolina >>

Mental Health Benefits
blank space cary child psychologist"Cheat Sheet" >>

Reduced-Fee Application >>

Frequently Asked Questions: Therapy >>

Frequently Asked Questions: Testing >>

Frequently Asked Questions:
blank space cary child psychologistSocial Skills >>

Frequently Asked Questions:
blank space cary child psychologistDialectical Behavior Therapy >>

Frequently Asked Questions:
blank space cary child psychologistChild Custody >>

Workshop Registration >>

Download Adobe Reader >>


Call 919-467-7777 or email Info@WynnsFamilyPsychology.com to schedule an appointment or to learn more about our therapy services, testing services, social skills groups, custody services, psychiatry services, and team of doctors.










































































































































































































































































































































































Wynns Family Psychology specializes in child psychologist Cary NC, child psychologists Cary NC, child therapist Cary NC, child therapists Cary NC, child counselor Cary NC, child counselors Cary NC, child neuropsychologist Cary NC, child neuropsychologists Cary NC, child therapy Cary NC, child counseling Cary NC, child testing Cary NC, child assessment Cary NC, child assessments Cary NC, child evaluation Cary NC, child evaluations Cary NC, child psychological testing Cary NC, child psychiatric testing Cary NC, child neuropsychological testing Cary NC, child psychology test Cary NC, child psychology tests Cary NC, child psychology services Cary NC, child psychological services Cary NC, child neuropsychology services Cary NC, and child neuropsychological services Cary NC, We also provide access to child psychiatrist Cary NC, child psychiatrists Cary NC, child psychiatry services Cary NC, and child psychiatric services Cary NC if medication is necessary.

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