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Important Forms

Important forms

​If you're a new client seeking behavioral health services, please review and fill out the Office Policy form as well as the appropriate intake form and bring it to your first therapy session.  Please note the following things:
  • In the Commonwealth of Pennsylvania, the age to consent for services and parental involvement is 14.  If your teen is 14 or older, they have the right to decide the level of parental involvement for treatment.  As a result, it is best if you involve your teen in obtaining information and their signature on the forms below, in addition to your signature.
  • In the Commonwealth of Pennsylvania, parents with shared custody must both agree to their child (who is under the age of 14) receiving therapy. Both parents MUST bring a completed Consent for Treatment form along with a copy of their custody agreement to The Center prior to meeting with a therapist.
​
Office Policy
File Size: 257 kb
File Type: pdf
Download File

Consent for Treatment
File Size: 129 kb
File Type: pdf
Download File

Child Intake
File Size: 186 kb
File Type: pdf
Download File

Teen (Ages 14-17) Intake
File Size: 60 kb
File Type: pdf
Download File

ccapt_adult_therapy_intake_forms.pdf
File Size: 239 kb
File Type: pdf
Download File

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  • Home
  • About
    • Meet Us
    • Forms
    • Rates and Insurance
    • FAQ's
  • Services
  • Education/Resources
    • For Caregivers
    • For Therapists
  • Blog
  • Contact