Prior to your/your dependent’s first outpatient appointment, fill out these forms.

Prior to your/your dependent’s first appointment, fill out these forms.

Clients who receive medication management services through Crossroads Counseling Center will fill out and sign this form upon request and permission from above provider.

Adult clients who receive medication management services through Crossroads Counseling Center will fill out and sign this form upon request and permission from above provider.

Perspective clients and guardians, please fill this form out so that we can communicate with other providers and emergency contacts. Please fill out one form per contact.

Perspective clients and guardians, please fill this form out so that we can communicate with other providers and emergency contacts. Please fill out one form per contact.

For any other questions, inquiries, or information, please contact us using this form.

These are documents that all current clients at all locations need to fill out and update ever year.

Current clients can fill out this Email/SMS consent form to allow other forms of communication.