Willowbrook Mental Health
  • Home
  • About Us
    • Sara Gasper
    • Suzanne Riley
    • Dave Hoyt
    • Client Experience
  • Types of Therapy
    • Brainspotting
    • Safe and Sound Protocol
    • Somatic Experiencing
  • Getting Started
    • Forms
    • FAQ's
    • Rates and Fees
  • Payment
  • Contact
  • Mentalivation
  • More
    • Home
    • About Us
      • Sara Gasper
      • Suzanne Riley
      • Dave Hoyt
      • Client Experience
    • Types of Therapy
      • Brainspotting
      • Safe and Sound Protocol
      • Somatic Experiencing
    • Getting Started
      • Forms
      • FAQ's
      • Rates and Fees
    • Payment
    • Contact
    • Mentalivation
Willowbrook Mental Health
  • Home
  • About Us
    • Sara Gasper
    • Suzanne Riley
    • Dave Hoyt
    • Client Experience
  • Types of Therapy
    • Brainspotting
    • Safe and Sound Protocol
    • Somatic Experiencing
  • Getting Started
    • Forms
    • FAQ's
    • Rates and Fees
  • Payment
  • Contact
  • Mentalivation

New and Existing Client Forms

All new client forms are also available in the client portal. If you haven't spoke to us about setting up your services or your portal yet, please give us a call at (308) 252-3179.

Privacy Practices (HIPAA) (pdf)Download
Consent, Policies, and Agreement (pdf)Download
Assignment of Insurance Benefits (pdf)Download
Telehealth Consent (pdf)Download
Adult Intake (pdf)Download
Minor Intake (pdf)Download
Release of Information (pdf)Download
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  • Contact

Willowbrook Mental Health LLC

1811 W 2nd St., Suite 330, Grand Island NE 68803

308-252-3179

Copyright © 2025 Willowbrook Mental Health - All Rights Reserved.

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