Forms

If you’ve already scheduled an Initial Consultation or Intake, please complete the paperwork linked below.

All appropriate documents must be completed before the date/time of your appointment. The name you type into these documents must match exactly the name you used when scheduling your appointment. If you have any questions about this process, call us at 801-626-6406.

Do not complete this paperwork if you do not have a scheduled Initial Consultation or Intake. If you would like to schedule an appointment, you may call our office.

For security reasons, we do not accept any Intake paperwork via email and we do not process any paperwork until clients arrive for their appointments. You are not considered a client of CPSC until your Intake appointment occurs.

Intake Forms

We respect your privacy and the confidentiality of the information you share with us. If you would like us to release your confidential information to others, you must consent to this release in writing. If you are a minor seeking services, you must have the consent of your parent/guardian. Please select the appropriate fillable PDF form below, complete it, and fax it to 801-626-6541.

Release of Information Form (PDF) Financial Aid Release of Information Form (PDF) Parental Consent Form (PDF)