(302) 526-0039 | emily.white@lotusemotionalwellness.com

Lotus Emotional Wellness Services

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

  • Authorization for Electronic Communication Lotus
  • Informed Consent & Intake Forms Lotus
  • Disclosure Of Information

Contact Today

Emily White


(302) 526-0039
emily.white@lotusemotionalwellness.com

110 N. Main Street
Camden, DE 19934

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Office Hours

Office hours are Tuesday, Thursday from 3-8 and other availability by request.
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Find Our Office

Contact Information

110 N. Main Street
Camden, DE 19934

(302) 526-0039
emily.white@lotusemotionalwellness.com

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