New Consumers

New Patients:  Three options to get started.

#1. Preferred method. Save time use secure Esign documents to do the initial intake paperwork & screening on your phone, tablet or computer so that you are set to be scheduled by our staff. Available 24/7. Fastest and most efficient way. Then send pictures of the front and back of your Insurance card, and Gov’t ID to [email protected]

#2. Option call or email us at referral.westcounseling.info or call 704-918-1343 ext 0.  A staff member will take some basic info and send you a link for the patient portal. Available during business hours, and when we can answer the phone. Must be registered first.

#3.  Options 3, download our PDFs, fill out the forms and scan, fax email the forms back to us.

WC-Intake Packet.2022.pdf

WC Spanish Intake Packet.pdf

Credit Card Consent Form.pdf

WC-Consumer rights: FYI.pdf

WC SO or Treatment plan Signature page.pdf

FYI: If you are new to services here, we will do a CCA or comprehensive clinical assessment prior to all services including Counseling, Psychiatric Services, and Psychological Services. If you are actively involved with clinical services elsewhere and are a psychiatry referral we will need your clinical home to send us a recent CCA. If you are a referral for a psychological assessment, we will need to do a CCA or and update to gather needed information and releases prior to conducting psychological testing.

Existing Patients:

Referrals:  send to [email protected]  or fax to 704-461-4334

Your own native referral form/ letter (send related documentation along with referral)

WC School Referral Form.pdf

West Counseling PCP Referral.pdf