O: 252-640-2493 | M: 252-245-1876 [email protected]

AMY G WATSON, LCMHC-S

Adult, Child and Family Therapist

Intake Forms

Intake forms are available for download in both Acrobat PDF and Microsoft Word formats. Links will open in a new window or tab.

Tele-therapy consent forms

Consent for treatment

Face Sheet

Disclosure Statement

Notice of Privacy

Attendance and Cancellation Policy

Client Information Form

CONTACT INFORMATION

*EFFECTIVE 10/1/2021 NEW LOCATION

4003 Nash Street NW | Wilson, NC 27896

Office Phone: 252-640-2493

Mobile Phone: 252-245-1876

Email: [email protected]

HOURS:

Mon-Fri and Weekends (Hours may vary)

ACCEPTED INSURANCE:

Blue Cross/Blue Shield

United Health Care

Cigna

EAP (ComPsych , McLaughlin Young)

UMR Insurance

Optum

Medcost

Aetna

SCHEDULE APPOINTMENT:

Call office or mobile phone to schedule