Client Form Templates

If you are new to CMP, then you might have questions about the process of starting therapy. On or before your first session, your clinician will provide you with some of these forms.

We have provided templates of them here in case you would like to review them in advance. If you have any questions, you can address those with your clinician.

Informed Consent

It is important for you to know what to expect in therapy. These forms outline key points about the nature of the therapeutic process so that you are equipped with the information that will help you to make the best decision.

Informed Consent – Adults

Informed Consent – Adults SPANISH

Informed Consent – Minors

Informed Consent – Minors SPANISH

Informed Consent – Telemedicine

Informed Consent – Telemedicine SPANISH

Informed Consent – Groups

Informed Consent – Groups SPANISH

Informed Consent for In-Person Services: COVID-related

Informed Consent for In-Person Services: COVID-related SPANISH

Additional

Notice of Privacy Practices

Notice of Privacy Practices SPANISH

Couples Secrets Policy

Release of Information (ROI) Authorization Forms

Should you and your clinician determine together that a consultation with another provider (for example, your psychiatrist or general practitioner) is necessary, then your clinician will provide you with a completed form similar to this.

ROI Authorization Form

ROI Authorization Form SPANISH

Good Faith Estimate

You have a right to know your mental health costs due to the Good Faith Estimate provision. This estimate (GFE) can be requested in the scheduling process with your CMP clinician. They will offer it as an option, if you are self-pay, or not planning on receiving reimbursement from your insurance provider. This pdf sample is NOT for filling out, only for your reference prior to your scheduling process.

SAMPLE Good Faith Estimate (GFE)

Contact Our Team

Saw someone on our team that you think would be a good fit for you? Use the form here to send them your questions!
Use this dropdown to select the counselor or therapist that you wish to send a message to using this form.

Have some questions first? You can always reach out here.