320 N. Judd Parkway, Suite 200
Fuquay Varina, NC 27526
Please call 919-557-8222

Intake Forms

General information about you will be collected during your first appointment to help Southern Wake Counseling Center determine if we will be able to assist you. The appointment will take approximately 45 minutes and is completely confidential. Please complete and bring the following items with you to your first appointment:

The following forms are available in pdf formats. Please click the appropriate form(s) for printing.

  1. Intake Packet
  2. Patient Rights
  3. Insurance Contract
  4. Referral Form

A counselor will review this information with you at your first appointment and will answer any questions at that time.

You will need Adobe Reader to view pdf documents.