Counseling Center For Emotional Growth

Forms and Insurance

First-time clients, feel free to review and complete these forms prior to your initial visit. Or if you prefer, you may request these forms when you arrive at your first office appointment.

Patient Information Form

Child and Adolescent Initial Assessment Form

Physician Notification Form

Treatment Agreement Form

HIPPA Notice of Privacy Practices

Fees and Insurance

(Right click mouse button and click on “Save Link As…” to download form.)


We accept these insurance plans: Aetna PPO, Blue Cross Blue Shield PPO, Humana PPO, Magellan, United Health Care, self pay. Please contact us for further information.