Accessibility View Close toolbar

Online Forms

New Outlook Counseling & Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax (214) 504-1337 us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download Intake Forms for Dr. Jones

Download Intake Forms for Ms. Mount


Download the Free Adobe Reader®

CONTACT US TODAY

We look forward to hearing from you

Locations

Find us on the map

Forest Lane (North Dallas)

Monday:

6:00 pm-8:00 pm

Tuesday:

6:00 pm-8:00 pm

Wednesday:

Closed

Thursday:

10:00 am-7:00 pm

Friday:

Closed

Saturday:

10:00 am-7:00 pm

Sunday:

Cash Pay Only

Pacific Ave (Downtown Dallas)

Monday:

Closed

Tuesday:

Closed

Wednesday:

Closed

Thursday:

Closed

Friday:

10:00 am-7:00 pm

Saturday:

Closed

Sunday:

Cash Pay Only