Printable Forms

• Release of Information
• Consent to Telehealth
• Consent to Treat Minor Patients at CCPH
• Notice of Privacy Practices

All Other Forms

Prior to your first video session, please submit your CCPH Consent to Telehealth under CCPH Forms in the Patient Portal.

Log in to your account and click on "Consent to Telehealth;" read and electronically sign.

Students scheduled for remote check-ins or sessions will receive a secure message via the Patient Portal with your unique zoom session link and password.

Don't have an account? Visit the Patient Portal to create one.