Appointment forms and information
If you have any questions, contact us at 260-969-5583 or email at email@example.com
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.