Web-based Form Completion

New or existing clients who are instructed to complete web-based forms, please use the following link to access our web-based forms. Your clinician will provide a password to access the system.

Examples of CPC Clinic Consent Forms

For further information regarding our center’s services, you can read through our program’s consent form for Assessment Services, consent form for Therapy Services, and consent form for Telehealth Services.

Release of Information Forms

If you are a current or former client in our clinic and wish us to send information from your record to another treatment provider, you can also download, print and complete the attached Release of Information form.  When you have filled it out, signed it, and had your signature witnessed, bring the form to the clinic, or you can mail it to our address.  If you would like us to obtain information about you from another treatment provider, you can download, print and complete this additional Release to Obtain Information form.  When you have filled it out, signed it, and had your signature witnessed, bring the form to the clinic, or you can mail it to our address.