Client Portal — thevictoriousmind

Austin’s Client Portal

Austin Wood, M.Ed, LAPC
Specializations: Adolescents, Teens, Young Adults

e: austin@thevictoriousmind.org

p: 706-363-0495

Minor Intake Form

Adult Intake Form

Telemental Health Information Form

Release of Information Form

Parent Report Form

Notice of Privacy Rights

Authorization for Minor Treatment