Dance Therapy
Dance Therapy
Greensboro Dance & Drama Therapy (336) 698-6723
Greensboro Dance & Drama      Therapy(336) 698-6723

Therapy Forms

Greensboro Dance & Drama Therapy

FORMS to complete prior to first session

Disclosure statement for clients
AWdisclosurestatement-consent to treat 1[...]
Microsoft Word document [47.5 KB]
Client Rights
Client rights-grievances-Exp of office 4[...]
Adobe Acrobat document [42.3 KB]
Court Policy
court policy 4-24-17.pdf
Adobe Acrobat document [12.2 KB]
Angela's Disclosure Statement for Clients (in Spanish)
AW Disclosure Statement _Spanish_.pdf
Adobe Acrobat document [27.9 KB]
Credit Card Convenience Fee Form
convenience fee.doc
Microsoft Word document [24.5 KB]
Telemedicine Consent
AWdisclosurestatement-Telemedicine 3-30-[...]
Adobe Acrobat document [20.9 KB]
in person covid policy.pdf
Adobe Acrobat document [8.8 KB]
Adult Intake Form
adult intake form.revised.doc
Microsoft Word document [55.5 KB]
Check List for Children Under 5 yrs. of Age
Microsoft Word document [33.5 KB]
Check List for Children Under 5yrs (Spanish)
Microsoft Word document [23.1 KB]
Child/Teen Intake Form (to be completed by parent)
Microsoft Word document [71.5 KB]
Child/Teen Intake Form (child/teen complete)
child-Teen INTAKE FORM to be completed b[...]
Microsoft Word document [35.0 KB]

Information Forms for Personal Use

Angela Wiley's Credentials Explained.
What they are and what is needed to keep them.
creditials explained.pdf
Adobe Acrobat document [11.5 KB]
Consent to release information form
Consent for Release of Confidential Info[...]
Adobe Acrobat document [78.7 KB]
Consent for Release of Information for DSS
Consent for Release of Confidential Info[...]
Adobe Acrobat document [80.2 KB]
Parents commonly asked questions
Parrents commonly asked questions.pdf
Adobe Acrobat document [6.9 KB]
How do I Prepare my child for therapy/ what is expected of me?
How should I prepaire my child therapy-w[...]
Adobe Acrobat document [17.1 KB]
How to talk to a child about a parent's addiction
What to Tell Children About a Parent eth[...]
Adobe Acrobat document [7.0 KB]
Why choose dance or drama therapy?
Adobe Acrobat document [6.3 KB]

Make a Credit Card Payment with PayPal

Make a payment for therapy services

Make a payment for supervision services

Payment of supervision services with a credit card have a

convenience fee added.

If you wish to avoid this surcharge send a check to:

5603 B West Friendly Ave #103

Greensboro, North Carolina 27410

Rates minus the convenience fee are as follows:

Individual $100/hour, Tridatic $50/hour

Group (for 2 hours) split by three people $100, by four people $75, by five people $60

Sliding Scale

Learn how to communicate what is too deep, too fine for words.

Want to learn how to reconnect to your child? Want to have more play in your life and with your family. I can help! I specialize in helping parents learn how to positively shape their children's behaviors through the use of play.

Things can get better!

Call Angela.



Contact via email

Phone:   (336) 698-6723 

Mailing address:

5603 B West Friendly Ave Suite 103 Greensboro, NC 27410.


Office Hours:

By Appointment Only.


Delays and Closings follow the Guilford Co. School System.

2 hr delay = open at 10 AM.


Most urgent appointments can be accommodated within 48 hrs.

All emergencies call

911 or National Suicide Prevention Hotline at 800 273-8255.

Use our contact form to inquire about any questions, comments, or concerns or if you wish to be added to our mailing list.  We will respond to you as soon as we can!

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2012© Angela Wiley