Forms

Intake Forms

The intake package (PDF) includes: CCFT client information form, information about CCFT, consent for services form, and agreement of parents/guardians for divorced families. The CCFT Privacy Practice describes how we protect your health  information, how it is disclosed, and how you can get access to this information. Click the appropriate link to download and print.

Please use ONLY black bold ink on all paperwork.

Intake Package

CCFT Privacy Practice (This is for you to read and you do not need to print this document.)

Therapist Disclosures (PDFs)

Your therapist has provided a therapist disclosure which is part of your CCFT intake package, click on your assigned therapist’s name to download and print. Please bring all completed forms to your first appointment

Jenny Fisher

Helena Hauge

Cory Staton

Golnar Ansari

Irena Reynolds

Kathy Pregnall

Sharon Booker

Jeffrey Weist

Renée Arcement

Erin Hohol

Lisa Burress

Stacie Flynn