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New client paperwork​

FIRST VISIT - FORMS  &  GENERAL INFO
Remember to Bring Your Insurance Card & Identification to Your Initial Visit

Cruz Clinic Important Informational Brochure

​We are affiliated with Cruz Clinic
Adult Paperwork (18+ Years of Age)
Please download the following forms and email them completed back to us at [email protected] - OR - print out the following forms and bring them completed with you to your first appointment.
Consent to Services
Adult Questionnaire
Coordination of Care
Credit Card Authorization
PHQ9 & GAD7
Release of Information (Optional)
Child and Adolescent Paperwork (Under 18 Years of Age)
Please download the following forms and email them completed back to us at [email protected] - OR - print out the following forms and bring them completed with you to your first appointment.
Consent to Services
Child/Adolescent Questionnaire
Coordination of Care
Credit Card Authorization
PHQ Teen
Release of Information (Optional)
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  • Home
  • Our Services
  • Assessments
  • Our Staff
  • Location and Contact
  • New Client Paperwork