Forms you may need
All new clients should read the Client Services Agreement and the Notice of Privacy Practices. New clients are asked to print out (or follow the link for the electronic version where available) the appropriate documents in the "Intake Forms" section below, complete them, and bring them to the first session or email/fax them to us. In order to conserve paper, only the signature pages of the Client Services Agreement and the Notice of Privacy Practices need to be printed. The signature pages are coded with a revision date that allows us to track which version of the document you signed.
Client Service Agreement - Full Document - click HERE
CCI Notice of Privacy - Full Document - click HERE
You may also choose to complete and bring with you one of the screenings below:
Select documents below based on client type.
Please note: Partner One is the primary insurance holder and the name for which the appointment will be scheduled. Partner Two is the other person(s) who will be joining Partner One. Each person should complete their own form individually.