Skip to main content
Visit our new Pennington Gap office at
185 Redwood Avenue Suite 102-B Pennington Gap, VA 24277!

FORMS

All of the patient forms available below are in PDF format. You may download the Adobe Acrobat Reader software for free from here if you don’t already have it.

Master Intake Packet

Authorization to Release Information

Provider Referral Form

Healing Waters Counseling Center is excited to announce that our new office in Pennington Gap, VA is NOW OPEN! We are located at 185 Redwood Avenue, Suite 102-B, Pennington Gap, VA 24277! We are excited to continue to serve the mental health needs of our community through our new office.