Kenfield Walters Intl
Living Psychology

Kenfield Walters Intl Living Psychology Kenfield Walters Intl Living Psychology Kenfield Walters Intl Living Psychology

Judith C. Walters, Ph.D. Psychologist

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  • About Us
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    • Home
    • Services
    • About Us
    • Patient Forms
    • Contact Us

Judith C. Walters, Ph.D. Psychologist

Kenfield Walters Intl
Living Psychology

Kenfield Walters Intl Living Psychology Kenfield Walters Intl Living Psychology Kenfield Walters Intl Living Psychology

  • Home
  • Services
  • About Us
  • Patient Forms
  • Contact Us

About Us

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Your ONLY Homework!

(A.) PAPERWORK AND (B.) PAYMENTS


(A.)  1. Copy both sides of your driver's license. Copy both sides of your insurance card(s) if applicable. 

Most insurances are accepted. 

2. Copy and complete the Adult Form if you are 18 or older. 

3. Copy, read, and complete the Informed Consent Form. 

4. Copy and complete the Health Questionnaire.

A HIPAA Notification is available for Viewing

On clinic days, contact Dr. Walters on her CELL phone: 

(248) 550-3130. 

(B.)  Payment is due at the time of service. 

1. Sign up for Zelle® with your online bank account.

2. Go to "Transfer | Zelle®" at page top. 3. Go to "Send Money" TO EMAIL: KW@KENFIELDWALTERS.COM

EASY, FREE, VERY FAST!

Learn more

PATIENT forms can be completed at: pdffiller.com

KWI INTAKE TEMPLATE ADULT (pdf)Download
KWI INTAKE TEMPLATE CHILD (pdf)Download
KWI TELEPSYCHOLOGY CONSENT FORM (pdf)Download
KWI HEALTH QUESTIONNAIRE (pdf)Download
KWI HIPAA NOTIFICATION (pdf)Download

  • Copyright © 2020 Kenfield Walters Intl LLC - All Rights Reserved 
  • https://www.apa.org/about/division/div40     www.apa.org  www.apa.org/action/science/performance  https://www.apa.org/action/careers/facts.pdf  https://www.apa.org/action/science/organizational  https://www.apa.org/action/careers/health/william-milberg locate information for Dr. Judith C. Walters at www.APA.org.


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