Telehealth Information & Consent for Online Therapy

WENDELL WILD, LCSW

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.

 

 telehealth form

Click here to read and complete your telehealth form

IMPORTANT INFORMATION FOR THERA-LINK
Please be sure to read the thera-LINK information for Telehealth services with Joseph Wendell Wild.
Once you have read the the Consent Addendum for Online Therapy, Consent to Treatment & Message from
Wendell Wild regarding thera-LINK, please complete the electronic consent submission below to begin your
thera-LINK services.

Click here to read thera-LINK information before you submit your consent below.


Consent Submission:

Reminder:  Be sure to click red link above to read the consent and thera-LINK information.

Welcome to thera-LINK, a secure video service for online sessions.  By typing your first, last name and email address below, you are consenting that you have read and agree to the two consent forms for the use of video technology for online therapy.  Please be sure you read the information fully.
Thank you!

Please provide a secondary phone number if you have one. Thank you!