Patient Forms - Crosspoint Clinical

Patient Referral Form

If you would like to refer someone or become a CrossPoint Clinical client yourself, please complete the form below and we will get in touch with you. Thank You

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Client Services Agreement

Please complete the form below only if you have been instructed to by one of our staff members. This form is intended for clients who have already spoken to our intake team. Thank you.

Adult Form

Children(s) Form

Authorization of Release Form

Please complete the form below only if you have been instructed to by one of our staff members. This form is intended for clients who have already spoken to our intake team. Thank you.

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Telehealth Consent Form

Please complete the form below only if you have been instructed to by one of our staff members. This form is intended for clients who have already spoken to our intake team. Thank you.

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Child and Adolescent Needs and Strengths - CANS

Please complete the form below only if you have been instructed to by one of our staff members. This form is intended for clients who have already spoken to our intake team. Thank you.

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