REACH FOR TOMORROW
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REACH COUNSELING 
@ OMNI WELLNESS

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​​Please fill out this intake form. Upon submitting this form you will be automatically directed to the REACH Intake and Screenings forms. These forms MUST be completed and signed online. These forms need to be completed and signed before you start services with R.E.A.C.H. Counseling. ​Then you will be contacted by R.E.A.C.H. to schedule your first appointment.   Thank you for choosing R.E.A.C.H. Counseling.

    REACH Counseling @ Omni Wellness Intake form



    Clinical Staff Only Fill Below if Relevant
    Max file size: 20MB

    Upon submitting this form you will be taken to another page where you will complete the needed Intake forms and Screenings to access REACH Counseling services. Please complete and sign these forms. Services will not be able to start unless they are completed and signed. 

    Thank you for choosing R.E.A.C.H. Counseling! 
    ​

Submit


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Copyright © 2015
  • Home
  • About
    • WHO WE ARE
    • REACH Staff Directory
    • Donate to R.E.A.C.H.
    • REACH POLICY AND PROCEDURES
    • REACHOUT Community Center
    • COUNTY RESOURCES >
      • CLINTON COUNTY
      • FAYETTE COUNTY
      • PIKE COUNTY
      • HIGHLAND COUNTY
      • PICKAWAY COUNTY
      • ROSS COUNTY
    • R.E.A.C.H. PUBLISHING
    • REACH TV
    • Beloved Advocacy Center >
      • Beloved About Us
      • Beloved Contact Us
      • Beloved Services
      • Beloved Survivors Corner
    • Church Partnership
    • REACH ROOMS SCHEDULER >
      • South St Rooms Scheduler
      • Greenfield Center (Jefferson St.) Rooms Scheduler
      • Hillsboro Rooms Scheduler
      • Kingston Room Scheduler
    • Satisfaction Survey
    • FILLABLE FORMS AND SCREENINGS
    • R.E.A.C.H. Staff Portal
  • COUNSELING
    • TRAUMA COUNSELING
    • Mental Health Screening Form
    • 360Health
    • Restoration Counseling >
      • Creative Counseling
      • Walking Life With you - CPST
      • School and Agency Counseling Referral
    • Recovery Counseling
    • TEEN Groups
    • REACH Learning Center
  • IOP Services
    • IOP Screening Form
    • Kingston IOP
  • TRAINING
    • The REACH Academy Courses
    • TRAINING & CONFERENCES
    • MAT7:12-TOOLBOX >
      • TIRF-CONGREGATIONS
      • TIRF-TEEN MINISTRY
    • LOOKING THROUGH A TIL
    • ETTIL
    • TIRF-Prevention
  • HIRING
  • Blog
  • Contact Us