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

These forms must be filled out by parent/legal guardian and client prior to intake assessment for Adolescent Day Treatment.

If you are a physician, psychiatrist, school staff, or outpatient therapist you can fill out this form to refer a client to our Adolescent Day Treatment program at either location.

This form is for school staff from SPASD to fill out to refer a student for in-school mental health therapy services.

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.

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

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

If your child has completed our Adolescent Day Treatment program, we want to hear your feedback on your experience!

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.