If you're a new client, please complete the following forms and bring them to your first therapy session.

• Registration Form  
• Pre-authorized Charge Form (Allowing us to bill insurance)
• Authorization for Use and Disclosure of Protected Health Information

I would like  to coordinate care with any other provider that you see (for example, your psychiatrist, primary care physician, etc.), please complete this form to allow CFGC to introduce our facility as your Behavioral Health Care provider. The Authorization for use and disclosure of protected health information will allow us to do so. Many insurance carriers now require that we coordinate care in this manner. If you have further questions about this request please feel free to contact our office.
 

Patient Health Questionnaire
Patient Health Questionnaire (Brief)
Mood Disorder Questionnaire
Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form
Notice of privacy practices acknowledgement
Auth_for_use_or_disclosure_of_protected_health_info
Pre Authorized Charge From
Registration Form

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