Christian Counseling Appointments

This is the reception and waiting room at Word of Life Counseling Center North.
The Waiting Area at Word of LIfe Counseling Center North

1. Call 316-677-7646 for individual, marriage and family counseling, 316-461-0901 for substance abuse, 316-210-2917 for anger management,  and 316-529-2756 for parenting classes.

2. Let Dennis know:

a. The type of counseling or Life Coaching you need.

b. Specify whether you want a specific program, a                     licensed counselor, use health insurance, a degreed                 counselor on a sliding scale, or a student/lay counselor.

c. Specify when you are available.

3. Make sure to provide a number where you would like to be contacted.

4. For individual counseling. marriage and family counseling. Dennis will attempt to remind you of your appointment by text message the day before your appointment.

5. If this is your first counselling appointment please download and fill out the forms below, or come to your appointment 15 minutes early in order to fill out the forms.

Download
Appointment Intake Form
This is the initial intake form to be filled out prior to your first appointment.
Counseling Center Intake Form 2017.docx
Microsoft Word Document 12.7 KB
Download
Counseling Agreement Form
This is the Counseling Agreement from which provides information concerning your rights to be read and signed prior to your first appointmennt.
Word of Life Counseling Center Counselin
Microsoft Word Document 14.4 KB
Download
Notice of Privacy Practies for Hipaa
This Information form describes you rights under the Hipaa law protecting health care records privacy.
Hipaa Notice of Privacy Practices NPP_LO
Microsoft Word Document 26.1 KB
Download
Receipt of Hipaa Privacy Practices Form
By signing this form you confirm that we have provided you your Notice of Privacy Practices relating to your health care records according to Hipaa requirements.
Hipaa Notice of Privacy Practice ACKNOWL
Microsoft Word Document 24.8 KB