COGNITIVE BEHAVIORAL SPECIALISTS OF THE TRI-CITIES
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​Downloads

Initial Intake Forms

By filling your paperwork out ahead of time, you will ensure you get the full amount of time with the therapist. 

New Patients

If you have never been a client here, please fill out the paperwork mailed to you prior to your appointment. Or, you may download the following paperwork, fill it out and bring it with you to your first appointment. 

  • New Patient Letter 
  • Authorization for Release of Information   (one each for your insurance company and physician)
  • Prescreening Assessment           
  • Clinical Assessment         
  • Informed Consent
  • Privacy Practices Acknowledgment
  • Permission to Treat a Minor


Other Forms

  • Notice of Privacy Practices


Here are directions to our office: 

  • Directions to our office 
 
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  • Home
  • About Us
  • Services
  • Downloads/Forms
  • First Visit
  • Insurance and Payments
  • Links