In order for you to register to receive Teletherapy and become a client* of Centers for Family Change you need to:
At the end of registering you will have to create a username and a password (both must be at least 8 characters in length) . You will then be transferred to your patient portal where you can complete our registration forms.
- Consent for Treatment
- HIPAA Privacy Notice
- Financial Policy
- Physician Release
- Teletherapy Consent
Please read our policies carefully. By signing the Consent for Treatment form you are agreeing to adhere to Centers for Family Change policies. Be sure to raise any questions about our policies with your therapist.
- If the client is a child/teen age 11 to 17 please sign the Adolescent Privacy Form.
- If you are going to receive couples therapy please sign the Multiple Attendee Form
Do not complete the In Person Informed Consent as we are not offering in person therapy at this time.
Do not complete the other Optional forms unless requested to do so.