Forms - Hoskinson Health & Wellness Clinic

Skip to content

We’re Hiring! Join the Hoskinson Health & Wellness Team

Services
Care Team
Your First Visit
About
Careers
Contact
Make an Appointment

Disclosures and Forms

Please download, sign, and bring to your first appointment.

Patients of Clinic Providers:

New Patient Forms

Patients of Sarah Hayworth:

Mandatory Disclosure
Consent to Treatment
Psychotherapy Intake Form
Telemedicine consent

307.387.9850
[email protected]
201 W Lakeway Road, Suite 800
Gillette, WY 82718

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Menu

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Newsletter

Get the latest news and health & wellness tips.

Email

© 2022 Hoskinson Health & Wellness Clinic. All rights reserved.

307.387.9850
[email protected]
201 W Lakeway Road, Suite 800
Gillette, WY 82718

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Menu

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Newsletter

Get the latest news and health & wellness tips.

Email

© 2022 Hoskinson Health & Wellness Clinic. All rights reserved

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

Menu

Who We Are
Services
Care Team
Your First Visit
Forms
Careers

307.387.9850
[email protected]
201 W Lakeway Road
Suite 800
Gillette, WY 82718

Newsletter

Get the latest news and health & wellness tips.

Email

© 2022 Hoskinson Health & Wellness Clinic. All rights reserved.

We’re open and we’d love to meet you.

Send us an email so we can schedule your visit.

Name

Phone

Email

Already a patient?

Sign in to your patient portal

How we're different
Services
Contact