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Delta Center
196 Third Street
Fond du Lac, WI 54935

Phone: 920-921-3343

Fax: 920-921-0989

Delta Center
Delta Center

New Clients

Welcome to Delta Center.  Please visit our Staff page to read about our providers.  If you are not sure which therapist you would like to see, our staff will be able to assist you.  Once you have chosen a therapist there are just a few steps to get started.  Please complete all 3 steps prior to your first appoinment.  

 

Please note: A missed first appointment will result in the cancellation of any subsequent appointments.

 

Step 1: Call our office (920) 921-3343 to schedule an appointment.

 

Step 2: Print and complete the initial paperwork and bring it along to your appointment. 

NOTE: During the COVID-19 pandemic, please email paperwork prior to your appointment to support@deltactr.com

 

Adult Forms (ages 18+)
Adult Telehealth Intake.pdf
Adobe Acrobat document [673.7 KB]
Adolescent Forms (ages 13-17)
Adolescent Telehealth Intake.pdf
Adobe Acrobat document [645.8 KB]
Child Forms (ages 5-12)
Child Telehealth Intake.pdf
Adobe Acrobat document [648.8 KB]

Step 3: Read our Privacy Practices to understand your rights and how your information will be kept confidential.

 

Notice of Privacy Practices.pdf
Adobe Acrobat document [220.4 KB]

 

 

Once you have registered and scheduled an initial appointment, or staff will contact your insurance company and verify your benefits.  Our staff will contact you and share that benefit information.

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