Novel Coronavirus (COVID-19)
Learn about novel coronavirus (COVID-19), our preparedness and updated policies to protect our community, patients, and staff. Learn more here.
Learn about novel coronavirus (COVID-19), our preparedness and updated policies to protect our community, patients, and staff. Learn more here.
Home / Behavioral Health New Patient Forms
Phone:
570-251-6676
Fax:
570-253-8268
WMCHC's administrative office:
Stourbridge Professional Complex
600 Maple Avenue, Honesdale, PA 18431
Click the map below for turn by turn directions.
Please download, complete and bring the Patient Intake Paperwork to your first appointment.
Adult Intake Health History
Adolescent Intake Health History 11-17
Pediatric Intake Health History 0-10 years
Bariatric Intake Paperwork 2020
Honesdale, PA (May 1, 2024)—Wayne Memorial Community Health Centers (WMCHC) is pleased to announce that Board-certified Obstetrician/Gynecologist Sheila Hockman, DO, has joined the Women’s Health Center. In addition to seeing... Read More
(Honesdale, May 1, 2024)…Wayne Memorial’s Hospice Department will host a spring memorial service on Sunday, June 2nd at 2:00 PM at Grace Episcopal Church in Honesdale to remember hospice patients... Read More
(Honesdale, April 30, 2024)…When Charles “Chuck” Detore was admitted to Wayne Memorial Hospital, he did not have to be transferred to another facility to receive dialysis. “It was great, because... Read More
Wayne Memorial’s Hospice Department will host a spring memorial service on Sunday, June 2nd at 2:00 PM at Grace Episcopal Church in Honesdale to remember hospice patients who have passed... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Wayne Memorial Hospital David Katz Conference Center, 601 Park St., Honesdale at... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Wayne Memorial’s Hospice Department will host a spring memorial service on Sunday, June 2nd at 2:00 PM at Grace Episcopal Church in Honesdale to remember hospice patients who have passed... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Wayne Memorial Hospital David Katz Conference Center, 601 Park St., Honesdale at... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Alzheimer’s Support Group for people living with the disease and their care partners. First Tuesday of every month. Trained facilitators from the Alzheimer’s Association of Greater Pennsylvania. 5:30pm-6:30pm, Wayne Memorial... Read More
Honesdale, PA (May 1, 2024)—Wayne Memorial Community Health Centers (WMCHC) is pleased to announce that Board-certified Obstetrician/Gynecologist Sheila Hockman, DO, has joined the Women’s Health Center. In addition to seeing... Read More
(Honesdale, May 1, 2024)…Wayne Memorial’s Hospice Department will host a spring memorial service on Sunday, June 2nd at 2:00 PM at Grace Episcopal Church in Honesdale to remember hospice patients... Read More
(Honesdale, April 30, 2024)…When Charles “Chuck” Detore was admitted to Wayne Memorial Hospital, he did not have to be transferred to another facility to receive dialysis. “It was great, because... Read More
(Honesdale, April 30, 2024) …The Wayne Memorial Health Foundation is once again offering community grants to nonprofit groups providing healthcare related programs or services to residents in the Wayne Memorial Health System... Read More
Honesdale, PA (April 11, 2024)— Richard Hacker, MD, FAAFP, a primary care physician at the Northern Wayne Family Health Center in Lakewood, PA has achieved the Degree of Fellow of... Read More
(Honesdale, April 10, 2024)…. Brant Adomiak, a certified registered nurse practitioner (CRNP) with a specialty in Pulmonary Nursing has joined Wayne Memorial Hospital’s Pulmonology Department. Adomiak, who will work closely... Read More
(Honesdale, April 3, 2024)… Wayne Memorial Hospital’s 23rd Women Only Luncheon Symposium (WOLS) takes place Friday, May 3rd at the Ladore Conference Center in Waymart. This popular event offers nine... Read More
Board-certified urologist Irwin Goldstein, MD officially began seeing patients in the Urology Clinic of Wayne Memorial Hospital this month. He joined his long-time colleague Donald L. Preate, Jr., MD, who... Read More
AllOne Foundation & Charities has awarded a $25,000 grant to Wayne Memorial Community Health Centers (WMCHC) in support of its NEPA Bili Baby Program. Key aspects of the program are... Read More
You’ll love the culture and camaraderie you don’t find at larger health systems. From nurses and management to techs and physicians, you’ll find your perfect career here
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From our humble beginnings in a small building on Court Street in Honesdale in 1920, to a thriving and growing state-of-the-art health system with offices in four counties and more than 1,000 employees, Wayne Memorial Hospital continues to be the driving force in health care in our community.
Wayne Memorial Hospital Auxiliary | SUPPORTING WMH FOR MORE THAN 75 YEARS - LEARN MORE!
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