Dr. Hillary Wishnick, Clinical Psychologist
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First Time Forms:

For your first appointment, please bring the following completed forms:  ​​
  • Registration
  • Outpatient Services Contract
  • Adolescent Background Questionnaire
  • Adult Background Questionnaire
  • HIPPA Acknowledgment
  • Release of Information (for any other mental health providers, pediatrician and/or primary care physician)
  • Telepsychology Consent Form

Privacy Policy

Dr. Wishnick's privacy practices are online for review, but do not need to be printed.   
  • ​Privacy Practices

Dialectical Behavior Therapy (DBT) Clients

  • ​Adolescent DBT Diary Card
  • ​Adult DBT Diary Card​
Home  | Services | About | Connect | Schedule
(p) 513.237.2747
6400 Thornberry Court Suite 620 Mason, OH 45040
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