To help us begin your care smoothly, we’ve outlined the necessary steps for completing paperwork and submitting payment. These forms help us better understand your needs and ensure we’re providing the best possible support. If you have questions or need help with any part of the process, please don’t hesitate to call.
We recommend using tools like PDFFiller.com, Adobe Acrobat, or any other PDF editor.
If you need assistance, please don’t hesitate to call us.
Payment is due at the start of each session or evaluation.
Please note: PayPal payments include an additional fee.
To schedule an appointment or begin the evaluation process, please call: (248) 737-0388
Therapy sessions require at least 48 hours notice for cancellations.
Testing services require at least 5 days notice.
Please download each form, fill it in completely, and email your completed documents to:
KW@KenfieldWalters.com
KWI #5 TELEPSYCHOLOGY CONSENT FORM 2024 (pdf)
DownloadKWI #6 HEALTH QUESTIONNAIRE 2024 (pdf)
DownloadKWI #7A ADULT INTAKE FORM 2024 (pdf)
DownloadKWI #7C CHILD INTAKE FORM 2024 (pdf)
DownloadKWI #8 HIPAA RULES (read & keep a copy for your records) (pdf)
DownloadDRIVER’S LICENSE & INSURANCE CARD (directions on document) (docx)
DownloadCall for a Free Consultation
(248) 737-0388
Your inquiry is welcomed and will be addressed within 48 hours.
Located in Farmington Hills, providing service in both Michigan and Florida.
Accepted Insurance Providers:
Medicare - Cigna - Priority Health - Meridian - HAP - United Health Care McLaren - more
Services We Provide:
Psychological Evaluations - Counseling - Marriage & Family Therapy - Custody Parenting Time Evaluations
Copyright 2022 Kenfield Walters Intl LLC All Rights Reserved
Judith C. Walters, PH.D., LP LICENSED CLINICAL PSYCHOLOGIST
Psychological Evaluations - Office Phone: (248) 737-0388
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