For your convenience, these intake forms can be completed prior to the first appointment. Please print out and complete either the Child or Adult Information sheet and bring it to your first appointment. You may also complete these forms online, save them to your device, and send them to the office at info@ICTPsych.com You may also print out the Acknowledgement Notice, Notice of Privacy Practices, and the Office Policies.
727 N. Waco, Suite 255
Wichita KS 67203
p 316.260.4587
f 316.260.4676
Info@ICTPsych.com
Hours - Open by appointment
Please leave a message on our secure voicemail