Mr. Wild offers collaborative, solution-focused, primarily insight-oriented psychotherapy to adults and adolescents experiencing confusion, coping difficulties, depression, or anxiety related to family, relationship, work, school, and life transition issues. He is a long-time School Social Worker, and has experience working in a wide variety of treatment settings.
Please download and fill out Mr. Wild's Office Policies and Forms listed below. If you choose to fill these forms out at our office, please arrive a half hour before your first scheduled appointment.
Patient Consent & Information Forms
Please print for all ages.
Child New Patient Questionnaire
(Ages 0 -13)
(For Parent/Guardian t0 Complete)
Adolescent New Patient Questionnaire
Parent/Guardian Completes everything except clinical questionnaire - patient to complete clinical questionnaire
Adult New Patient Questionnaire
(18 Years Old and UP)
Please print this for your records