New Patient Forms
Please review the following documents.
What to do when you arrive, scheduling appointments and how to contact your therapist.
CCS Office and Cancellation Policies
Information on when and how to cancel an appointment.
HIPAA Information/Notice of Privacy Practices
HIPAA: Health Insurance Portability and Accountability Act…Detailed information about how CCS handles your personal information.
Forms that require your information and signatures before being seen: (PDF format) (Please print the following forms, fill them out and bring them to your appointment.)
This form requests client and insurance information.
An acknowledgement of your registration.
Adult Comprehensive Clinical Assessment
Please annotate everything you’re experiencing — this will help start the conversation between you and your new therapist.
Child Adolescent Comprehensive Clinical Assessment
Please fill in all applicable areas — this will help the counselor/therapist connect with the Child/Adolescent.
Assessment Tool 1: (PHQ-9): A listing and scoring of commonly experienced symptoms.
Assessment Tool 2: (GAD-7): A listing and scoring of commonly experienced symptoms.
Assessment Tool 3: (PCL-C): PTSD CheckList – Civilian Version
