Client Feedback

Our therapists and office staff are always looking to better our services to provide the best therapy and experience. This form allows you an opportunity to provide feedback to your therapist after your session. This will help your therapist’s professional development as well as helping to improve the service offered to you and others.


Your responses will provide important information on how services can be improved in the future.  As with all client information, yours responses will be kept strictly confidential.  After completing the survey, please return it to the office address or by confidential fax provided.


If you have any questions or concerns please contact us.




Client Feedback
A questionnaire for clients to provide feedback on the services provided by their therapists.
Client Feed Back Form.pdf
Adobe Acrobat document [83.7 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Where to Find Us:

Wagner Behavioral Health

Services, LLC

1001 State Street, Suite 102

Erie, PA 16501


To Make An Appointment or Referral Call:

Main Office:


(814) 580-1743





Office Hours

Due to the current COVID-19 pandemic; WBHS office is closed to the public. You may contact our office via phone to set up a telehealth appointment. 


This is in response to WBHS pandemic response plan.




Tuesday through Friday

9:30 a.m. to 5:30 p.m


Appointments may be provided outside of normal business hours by necessity only.


This office is closed on major holidays.


Our Locations

Main Office: 


1001 State Street

Renaissance Center

Erie, PA  16501

(814) 580-1743





Patient Forms

New patient? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide several forms as PDF download on our site.

Referral Forms

Click here for our referral forms.

Client Feedback

If you would like to participate in helping us provide you with the best therapy by giving us your feed back. Click here to fill out our form.

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