Mindfulness Holistic Wellness & Healing does not discriminate or deny services based upon an
individual’s race, color, sexual orientation, national origin, disability, religion, age, and/or gender identity.
Moreover we will not deny access to services due to inability to pay. We do offer discounted and
sliding fee scale for those who have no insurance or if we do not take your insurance.
Please inquire by calling us at 304.699.1419. Thank you.

INSURANCES WE ACCEPT

WV Molina
HealthSmart PEIA
Quality Care Partners
Humana
Ohio PPO Connect
Cigna
The Health Plan
UniCare
HealthSmart PEIA
Highmark Blue Cross Blue Shield
Optum/United Health Care
Aetna Better Health of West Virginia
Medicare Part B
ChampVA
Humana Tricare

PATIENT FORMS

Massage Therapy Intake Form
Counseling & Psychiatric Intake Form
Hot Stone Massage Release Form
Release of Information: Osric Malone-Prioeau
Healing Touch Intake Form & Disclosure
Release of Information: Jessica Fox
DUI Program Intake
Notice of Information Practices & Privacy
Mindfulness Payment Plan Form
Yoga Consent Form
IOP Intake Form

NO BLAME, SHAME OR GUILT.

LET US HELP MAKE YOUR LIFE BETTER!

NEW PATIENTS CALL 304.699.1419

Returning Patients Schedule An Appointment