New Client Intake Form - Wendy Lader, Ph.D., M.S., M.Ed

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Wendy Lader, Ph.D., M.S., M.Ed

PLEASE COMPLETE AND SUBMIT ALL PAGES PRIOR TO YOUR FIRST APPOINTMENT

If you are in crisis, dial 911 or go to your nearest emergency room.

If you want to talk to someone call

SAMHSA’s National Helpline,
800-662-HELP (4357).