Patient Forms

Patient Forms

FOR NEW, RETURNING, OR CLIENTS WHO HAVE RECENTLY TURNED 18 YEARS OLD: please fill out the CCA New Patient Intake Form only.


Compass Clinical Associates new patient paperworkCCA New Patient Intake Form


Authorization for release of medical recordsAuthorization for Release of Medical Records

Controlled Substance Agreement and Informed ConsentControlled Substance Agreement and Informed Consent


Telehealth AuthorizationTelehealth Auth COVID-19


Compass Initial MedicationCompass Initial Medication Report


Authorization for Reminder calls and Electronic communicationAuth for Reminder calls and Electronic communication


Everest Institute Telehealth Release of Medical Record RequestEverest Institute Medical Information Release Form


TMS New Patient Forms

TMS Consent to appeal denied claimsTMS Consent to appeal denied claims


TMS Patient Health Questionnaire (PHQ-9)TMS Patient Health Questionnaire (PHQ-9)


TMS Appointment agreementTMS Appointment agreement


Why Choose Compass Clinical Associates?

 

Extensive Clinical Experience

At Compass Clinical Associates we are committed to the highest level of full-service mental health care to all our patients, which is unmatched in our industry.

 

Personalized Treatment Plans

We are a well-staffed treatment center offering a greater than 1:1 client to staff ratio. We believe that client centered individual care is at the core of successful recovery.

 

State of the Art Facility

At Compass, we realize that in order to effectively treat mental health issues and illnesses, we must provide a safe, comfortable, and pleasant environment.