Forms and Downloads

 

Request Information                                           

Curriculum Vita

 

AOC/IDS Forms:

AOC-309 (with Dr. Cottle's information)  

 

New Client Forms 

Note: Please register through the Client Portal, which will allow you to complete and submit forms online. 

If you are unable to enter the Client Portal, you may download and print the following:

Adolescent Intake Packet 

Adult Intake Packet 

 

Confidentiality and HIPPA (Available through Client Portal)

Social Media Policies

Summary of Confidentiality/HIPPA Policies

Informed Consent and Authorization for Psychological Testing

Release of Information Forms

cindycottle@mentalhealthandlaw.com

Phone: 919-301-8513

Fax: 919-882-1685

 

Copyright Cindy C. Cottle, Ph.D.  @ 2015 All rights reserved.