Forms

Beginnings are scary. Endings are usually sad, but it’s what’s in the middle that counts. So, when you find yourself at the beginning, just give hope a chance to float up and it will.

-Hope Floats

THERAPY AND BEHAVIOR CONSULTATION

After you have called to book an appointment for counseling or behavioral services, please print out and complete the following packet as applicable. The packet includes all forms required at our practice. We are aware the information is quite thorough…as an integrative practice, we see the value in reviewing the complete picture to assist you in the most comprehensive manner. Please arrive 10 minutes prior to your initial appointment with forms completed.

 

REQUIRED FORMS FOR THERAPY OR BEHAVIOR CONSULTATION-Adult or Child/Teen:

 ADULT FORMS
Adults age 18 and older

 PRIVACY POLICY 
For your review-does not need to be returned

 CHILD/TEEN FORMS
Both parents’ consent required for children under
the age of 18

 

AS NEEDED:

 AUTHORIZATION FOR RELEASE OF INFORMATION
Allows us to consult with other individuals, professionals, or organizations involved eg. psychiatrist, psychologist, former therapist, school, etc.
 IMMIGRATION EVALUATION
Hardship Waiver

 


PRIVATE WELLNESS SESSIONS

This applies to the following:

  • Life/Wellness Coaching (Planning Your Path to Wellness, or to Passion and Purpose)
  • Nutritional Session
  • Pain Relief Session
  • Private Restorative Sound
  • Private Yoga or Meditation

After you have scheduled your appointment, please print and complete the following form. Please arrive 10 minutes prior to your appointment with completed forms.

 PRIVATE INTEGRATIVE WELLNESS SESSION CONSENT



CLASSES AND WORKSHOPS

Our weekly classes do not require pre-registration: Peaceful Mind, Qi-Gong, and Yoga (with the exception of Recovery Yoga, which has a special form below). Please complete the following form and bring to your first class. This also applies to monthly workshops, including Inner Spa for the Mind and Community Wellness.

 CLASS CONSENT



GROUPS

Support and therapeutic groups do require pre-registration. After calling our office to register, please complete the following as appropriate and bring to the first group session.

 GROUP CONSENT
4 and 8 week groups

 RECOVERY YOGA CONSENT

ABOUT US

We are an integrative center focused on empowering children, adolescents, and adults to transform through emotional and behavioral metamorphosis with peace, balance, and purpose.

Monarch Wellness is a BBB Accredited Psychotherapist in Naples, FL

Contact Us

Main Central Naples Office:
843 Myrtle Terrace Naples, FL 34103

South/East Naples Office:
12264 Tamiami Trail East, Suite 202, Naples 34113

(239) 231-3208

www.MonarchWellness.net/

We are Open

Appointments Available

Monday to Friday
10:00am - 8:00pm

Saturday
12pm - 5pm


Check out our schedule

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