New Client Intake

Comprehensive Mental Health Services

Welcome to CareAngel Mental Health & Wellness

To provide you with the highest quality of care, we kindly ask that you complete this Patient Demographic and Insurance Intake Form. The information you provide helps us better understand your background, verify insurance coverage, and ensure our services are tailored to your unique needs.

All information is kept strictly confidential and used solely for clinical and administrative purposes in accordance with HIPAA regulations.

Thank you for taking the time to complete this form — we’re honored to support your journey toward healing and wellness.

Telehealth & In-Person

Care your way—visit us in person or online with ease.

Insurance & Payments

We accept most commercial insurance plans except
Wellcare, as well as out-of-pocket payments.

Start Your Journey to Mental Wellness

Take the first step towards a healthier mind and a brighter future. Schedule your consultation with Care Angel Mental Health today and let us guide you on your path to wellness.

CareAngel Mental Health and Wellness

Address

406 Blankenbaker Pkwy STE C1
Louisville, KY 40243

Phone

502-654-9575

Email

drwinston@careangelmh.com
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