- New Patient Orientation Information(Informational)
- Patient Demographics and Insurance*-Must be completed and all areas signed by patient or parent/legal guardian.
- Patient Self Report – Adult*-Please complete to provide history and current treatment needs
- Patient Self Report – Under 18*-Parents, please complete for patients under 18.
- United Healthcare/United Behavioral Health Wellness Assessment – Adult – Required for all United Healthcare/United Behavioral Healthcare insured patients
- United Healthcare/United Behavioral Health Wellness Assessment – Under 18 – Required for all United Healthcare/United Behavioral Healthcare insured patients
- Prescription Drug Refill Policy and Procedures-for patients being seen for medication evaluations by our psychiatrists. (Informational only)
*All starred items are required for all new patient appointments
**Effective JANUARY 1st, 2011 CPG will no long accept personal/business checks for patient payments. We will continue to gladly accept cash and all major credit cards.**