Intake Forms

If you would like to utilize services offered by The Caring Center of Wichita, feel free to take a look and fill out these forms below. Filling out these forms will give us the opportunity to learn more about you at the time of your first appointment.

You will need Adobe Acrobat Reader DC to open or fill the file(s). Click here to download it if you do not have it on your computer.

Registration Forms

  1. Client Registration
  2. Release of Information
  3. Personal Substance Abuse History Form  (Fillable PDF)
  4. Insurance Form


  1. Fee Schedule
  2. Sliding Fee Application
  3. Sliding Fee Discount Policy

Child Intake Forms

  1. Child Intake Form