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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
  • ABOUT
    • CONTACT US
    • WELCOME TO R.E.A.C.H. >
      • WHO WE ARE >
        • REACH Board Meeting Minutes
      • REACH Staff Directory
    • Donate to R.E.A.C.H.
    • REACH POLICY AND PROCEDURES
    • COUNTY RESOURCES >
      • CLINTON COUNTY
      • FAYETTE COUNTY
      • PIKE COUNTY
      • HIGHLAND COUNTY
      • PICKAWAY COUNTY
      • ROSS COUNTY
    • REACHOUT Community Center
    • R.E.A.C.H. PUBLISHING
    • REACH TV
    • Beloved Advocacy Center >
      • Beloved About Us
      • Beloved Contact Us
      • Beloved Services
      • Beloved Survivors Corner
    • Church Partnership
    • FILLABLE FORMS AND SCREENINGS >
      • REACH Intake Packet MH and SUD
      • IOP FACILITY AND PROGRAM FORMS
      • Mental Health Fillable Screenings Links
      • SUD SCREENINGS
    • REACH ROOMS SCHEDULER >
      • South St Rooms Scheduler
      • Greenfield Center (Jefferson St.) Rooms Scheduler
      • Hillsboro Rooms Scheduler
      • Kingston Room Scheduler
    • R.E.A.C.H. Staff Portal
  • COUNSELING
    • TRAUMA COUNSELING
    • R.E.A.C.H. Counseling New Client Intake Forms
    • 360Health
    • R.E.A.C.H. Restoration Counseling >
      • Creative Counseling
      • Walking Life With you - CPST
      • School and Agency Counseling Referral
    • TEEN Groups
  • TRAINING
    • The REACH Academy Courses
    • TRAINING & CONFERENCES
    • MAT7:12-TOOLBOX >
      • TIRF-CONGREGATIONS
      • TIRF-TEEN MINISTRY
    • TIRF-Prevention
  • HIRING
  • Blog
  • Satisfaction Survey
  • REACH Recovery Program