Documents & Forms
Click the links below for forms you may need to fill out:
Covid
- Consumer COVID-19 Screener
- Evaluación de Síntomas de COVID-19 para el Consumidor
- Microsoft TEAMS Directions for Consumers
- Telehealth Consent Form
Medical Records
- Authorization to Release/Obtain Information
- Requesting Medical Records - FAQ's
- How to Open an Encrypted Email
- Divulgacion de informacion
New Clients
Programs
- CSS Consumer Service Agreement
- CPSAI Program - Release and Consents
- CPSAI liberación y consentimientos
- PRSS Release Form
- SAIL Program - Consumer Information Form
Referral
- Integrated Case Management Services Referral Form/ Cross County Transfer
- Justice Involved Services Referral Form
- Mental Health Court Liaison Referral Form
Survey
Telehealth
Knowledge Toolkits
These toolkits are very helpful to prepare you and your loved ones for the threats of present-day substance abuse.
Knowledge Toolkits
These toolkits are very helpful to prepare you and your loved ones for the threats of present-day substance abuse.
Free Downloads
These resources are for a wide audience. They should help you or a loved one learn more about health and prevention.
Free Downloads
These resources are for a wide audience. They should help you or a loved one learn more about health and prevention.
Documents & Forms
For some of our services, you might need to fill out some important forms, so we made them available, right here!
Guidance & Advice
Our blog is a great resource, too. It has multiple entries about things everyone should keep in-mind about their health.
Guidance & Advice
Our blog is a great resource, too. It has multiple entries about things everyone should keep in-mind about their health.