Forms and Downloads

 

Request Information

Adolescent Intake Packet 

Adult Intake Packet 

Workers' Compensation/EAP/Disability Claims

Confidentiality and HIPPA

Change of Insurance Information Form

Informed Consent and Authorization for Psychological Testing

Release of Information Forms

 

Phone: 919-827-2148

Fax: 919-882-1685

6500 Creedmoor Rd, Ste 106

Raleigh, NC 27613

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