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. All of our forms have been updated on March, 2019.
Please use ONLY black bold ink on all paperwork.
Notice of Privacy Practices Short Version (This is for you to read over. You do not need to print this document.)
Telehealth Informed Consent Form
Therapist Disclosures
Your therapist has provided a 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