(828) 808-1078 | andrea@awilhelmtherapy.com

Andrea Wilhelm, LPC

  • Andrea Wilhelm, LPC
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Client Forms

If you are a new client, please complete the following forms and bring them to your first therapy session.

Andrea Wilhelm, LCMHC Intake

Professional Disclosure

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here.

Andrea Wilhelm, LCMHC


(828) 808-1078
andrea@awilhelmtherapy.com

77 Church Street
Asheville, NC 28801

Contact

Send A Message

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Appointment Request

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Find My Office

Contact Information

77 Church Street
Asheville, NC 28801

(828) 808-1078
andrea@awilhelmtherapy.com

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