African Centered Healing

African Centered HealingAfrican Centered HealingAfrican Centered Healing

African Centered Healing

African Centered HealingAfrican Centered HealingAfrican Centered Healing
  • Sign In
  • Create Account

  • Orders
  • My Account
  • Signed in as:

  • filler@godaddy.com


  • Orders
  • My Account
  • Sign out

Signed in as:

filler@godaddy.com

  • Home
  • About
  • Our Therapies
  • Appointments
  • Contact Us
  • Merchants We Support

Account


  • Orders
  • My Account
  • Sign out


  • Sign In
  • Orders
  • My Account

Client Contract Forms

To request an appointment, download and complete the Counseling Informed Consent and Intake Forms below. Save the to your computer - make sure you save them somewhere you can find them.

Counseling Informed Consent (docx)Download
Intake Form (docx)Download

Request An Appointment

Fill out the required information below. Select Attach Client Contract Forms, find the saved Counseling Informed Consent and Intake Form on your computer, select Open to attach. Submit once complete.

Attach Client Contract Forms
Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

If this is an emergency contact 911 for medical assistance. 


All information collected is confidential and protected by Kenneth E. Woods, Psychotherapist at African Centered Healing.

Copyright © 2021 African Centered Healing - All Rights Reserved.

Powered by GoDaddy