Enrichment & Counseling Center at Wahsatch
Behavioral Health
Pediatric Intake Form (English)(opens in a new tab)
Pediatric Intake Form (Spanish)(opens in a new tab)
Pediatric Symptom Checklist (English)(opens in a new tab)
Pediatric Symptom Checklist (Spanish)(opens in a new tab)
Patient Well-Being Screener (English)(opens in a new tab)
Patient Well-Being Screener (Spanish)(opens in a new tab)
Adolescent Informed Consent (English)(opens in a new tab)
Adolescent Informed Consent (Spanish)(opens in a new tab)
Adult Intake Form (English)(opens in a new tab)
Adult Intake Form (Spanish)(opens in a new tab)
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