If you have any questions, contact us at 260-969-5583 or email at cbt@iccbt.org
Please bring the following to your first appointment:
*Name, address, phone number and fax number of all current physicians, psychotherapists, and any past psychiatric treatment providers
*A complete list of all of your current and recent medications, (including over-the-counter medication and herbal preparations) and/or prescription bottles
*Copy of any Medical Records in your possession
*Patients under the age of 18 should bring their most recent school behavior report, grade card and/or a symptom checklist completed by teachers
*If you would like to use your medical insurance, please bring a copy of your insurance card and any other information required for submitting your claims.
*****Most, but not all, clinicians at CBT accept Medicare and most major insurance plans. We will help you to confirm your coverage prior to making an appointment. Please contact our business office to discuss your individual insurance and payment needs.
Prior to your first appointment, please return completed copies of forms below. If you cannot download the forms, please contact our office. Please arrive 20 minutes early for your first appointment to complete an initial questionnaire. Thank you!
***We know there are many forms in these packets and it may seem like quite a lot to do. Much of this is required by state and federal law and we must comply with these legal requirements. Some of the other forms are designed to give us the most information possible at the very beginning so we can best serve you. Your time spent providing this information will allow us to spend more time in our initial session talking about your concerns and needs rather than addressing, in detail, each of the questions asked here. Providing this information and bringing it with you to the initial session helps us focus on you during that session.
