Contact me via phone or text at: (860) 385-1574
jackie@whccllc.com

Client Forms

If you are new, please feel free to fill out these intake forms before the first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Limits of Confidentiality

Call me at 860 385-1574 to set up a free 15-minute appointment to discuss your needs. I look forward to connecting with you

  639 Prospect Ave. Hartford, CT 06119

Contact me via phone or text at:

  (860) 385-1574

   jackie@whccllc.com

How can I help…

I Look Forward To Speaking With You!
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