Forms

For new clients, please complete the CWMHA Intake Forms electronically by clicking PDF link below. You may save and print your forms electronically, or submit them via email to your provider.

Release of Information Forms
General Release of Information
PCP Release of Information Form

Consent Forms
Adult Consent for Services
Child Consent for Services
Guardian Consent
Group Therapy Consent
Telehealth Consent
Texting Consent

Referral Forms
Individual Skills Development Referral Form

Policy Acknowledgement Form
CWMHA Fee Policy

Authorization Form
Credit Card Authorization Form

Survey
CWMHA Quality Assurance Survey