April Wise,

Psy.D., MFT, LPCC

You can email me at:

counselwise@aprilwisemft.com

or reach me by phone:

(925) 253-0740.

If you have insurance that covers behavioral health, please verify your eligibility.  I will provide statements for reimbursement.

Please fill out the forms below and email them back prior to our first appointment.

- Client Intake

- Practice Information/Consent

- Telehealth Consent Forms

For best results please use Adobe Acrobat Reader to open the fillable forms.

Copyright © 2023,

April Wise, Psy.D., MFT, LPCC