Kenfield Walters Intl 
Leadership Psychology

(248) 737-0388

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  • Psychological Evaluations
  • Child Custody Evaluations
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    • Home
    • Counseling
    • Psychological Evaluations
    • Child Custody Evaluations
    • Patient Forms
    • About Us
    • Contact Us

(248) 737-0388

Kenfield Walters Intl 
Leadership Psychology
  • Home
  • Counseling
  • Psychological Evaluations
  • Child Custody Evaluations
  • Patient Forms
  • About Us
  • Contact Us
Preparing for Your Appointment

We’re Here to Help

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.

Paperwork and Payments

How to Fill Out Forms

How to Fill Out Forms

How to Fill Out Forms

 We recommend using tools like PDFFiller.com, Adobe Acrobat, or any other PDF editor.


  1. Download the forms to your computer. 
  2. Upload them to www.PDFFiller.com. 
  3. Fill in your responses by typing directly into the form. 
  4. Save and submit your completed forms to KW@KenfieldWalters.com.
  5. Please send clear scans of both sides of your driver’s license and insurance card(s) (if applicable) to KW@KenfieldWalters.com. Document backgrounds  must be on a white paper/background and easy to read—no dark or blurry images.


If you need assistance, please don’t hesitate to call us.

Making a Payment

How to Fill Out Forms

How to Fill Out Forms

Payment is due at the start of each session or evaluation.
 

  1. We recommend using Zelle® for easy, free, and fast payment transfers. 
  2. To pay via Zelle®; 

  • Log in to your online banking account. 
  • Select “Transfer” or “Send Money” and choose Zelle®
  • Send payment to: KW@KENFIELDWALTERS.COM 


Please note: PayPal payments include an additional fee.
 

To schedule an appointment or begin the evaluation process, please call: (248) 737-0388

Cancellation Policy

Therapy sessions require at least 48 hours notice for cancellations.
Testing services require at least 5 days notice.

Evaluation & Counseling Forms

Please download each form, fill it in completely, and email your completed documents to:
KW@KenfieldWalters.com 

KWI #5 TELEPSYCHOLOGY CONSENT FORM 2024 (pdf)

Download

KWI #6 HEALTH QUESTIONNAIRE 2024 (pdf)

Download

KWI #7A ADULT INTAKE FORM 2024 (pdf)

Download

KWI #7C CHILD INTAKE FORM 2024 (pdf)

Download

KWI #8 HIPAA RULES (read & keep a copy for your records) (pdf)

Download

DRIVER’S LICENSE & INSURANCE CARD (directions on document) (docx)

Download

Have Questions? Please Reach Out or Complete Intake Forms

Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations
  • Psychological Evaluations ,Counseling, Marriage, Family Therapy, Custody Parenting Time Evaluations

Call 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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