Alcona Health Center Behavior Health Providers

Service Forms

The Gaylord Youth Support Program provides access to behavioral health therapy for students at Gaylord Intermediate, North Ohio and South Maple Elementary Schools.  It is a collaboration between Alcona Health Center, the Health Department and Gaylord Community Schools.

Click below to view/download the paperwork necessary to begin working with Alcona Health Center Behavioral Health Providers. Please contact the provider at your student's school if you need help completing any of these forms.


PDF DocumentParent/Guardian Consent for Treatment - For parents/guardians to complete.  This form needs to be completed before we can see your child.
PDF DocumentPrivacy Practice Notice - Important information regarding your participation in therapy services.
PDF DocumentNotice of Privacy Practice Signature Page
PDF DocumentRelease of Information - Please complete this form to allow us to communicate with other providers, agencies, or individuals that are involved in your student's care.

Alcona Health Department

Rachael Wilhelm
231-412-6457

Rachael Wilhelm is a Licensed Professional Counselor.  She earned her Bachelor’s Degree in Social Work from Grand Valley State University, and her Master’s Degree in Counseling from Spring Arbor University. She has ten years of experience in child welfare, school, community-based, and clinical settings. Rachael has skills in providing individual and group therapy.  She has worked with adults, children, and adolescents with a variety of mental illnesses, including depression, anxiety, post-traumatic stress disorder, personality disorders, and chronic mental illness.  She also has experience working with individuals that have developmental disabilities.

Rachael has training in Trauma-Focused Cognitive Behavioral Therapy, Motivational Interviewing, Play Therapy, Mindfulness, Grief/Loss and Parent Management Training-Oregon Model.  She is a member of the American Counseling Association. Rachael strongly believes in the value and potential of each person.  She looks forward to working with the students, staff, and families of Gaylord Community Schools.

Rachael was born and raised in northern Michigan and continues to live in the area with her family.  She likes spending time with her family, going on adventures and enjoys the outdoors.