Intake FormsAmyAdminCABC2020-07-02T14:22:44-04:00

Intake Forms

The following forms will be provided to all new clients prior to the first session with a clinician.

New Patient Information Packet
Credit Card Authorization Form
Privacy Notice
Release of Information Form
Outpatient Services Agreement (Consent)
Billing & Fees Agreement
Parent of Child Screening Forms

Due to the Coronavirus (COVID-19), CABC is offering secure, HIPAA-compliant telehealth at this time. No treatment will be in-person until further notice. Thank you.