No Change Document – 2022We at the CDCW are glad you have decided to entrust us. To assist in making your first appointment run smoothly and efficiently, the following files can be downloaded and filled out in advance. Please look over all the applicable treatment consent forms and have any questions or concerns you may have ready to discuss at the time of your appointment. You may also wish to organize your thinking regarding the issues that are bringing you to treatment. Please bring all completed paperwork to your appointment and be prepared to discuss your background history and/or your family, children, etc.
We look forward to meeting with you at your first appointment!
Adult New Client Documentation Packet (All Forms):
Adult Documents (Individual .PDF Format):
Child New Client Documentation Packet (All Forms):
Child Documents (Individual .PDF Format):
- 1 CDCW Patient Information Form
- 2 CDCW Child Release Of Information
- 3 CDCW HIPAA Notice of Privacy Practices
- 4 CDCW HIPAA Acknowledgment
- 5 CDCW Child and Adolescent Services Contract
- 6 CDCW Informed Consent
- 7 CDCW Universal Medication Form
- 8 CDCW Developmental Questionnaire
- 9 CDCW No Change Information Form 2021
- 10 CDCW Financial Agreement – Recurring