Current Client Request Form

If you [or someone on your behalf] have already submitted a New Client Referral Form and you have received services within the last year, fill out the Existing Client form to make a new request.

​​

A Wellness Place staff member or volunteer will follow-up within 2 business days (M-TH, 9am-2pm) to confirm and fulfill your request.

​

If you would like to participate in a Support Group or MBSR Course, please register through the Event.

​

If you have not received services within the year, please re-submit a New Client Referral Form.

​

Please Contact Us for any questions regarding your credit balance, or for any questions or assistance with submitting a request for an existing client.