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

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
Henna Waiver
DUI Program Intake
Notice of Information Practices & Privacy

NO BLAME, SHAME OR GUILT. LET US HELP MAKE YOUR LIFE BETTER!

NEW PATIENTS CALL 304.699.1419

Returning Patients Schedule An Appointment