Patient Forms

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.

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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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