Helpful Forms

If you're a first-time client, please print, review, and complete the following forms. Please bring the completed forms with you to your first appointment, and this should substantially reduce the amount of time you spend completing the required paperwork by 15 to 20 minutes.

Client Information Form Client Contact Form (Face Sheet)
Confidentiality and Cancellation Policy Notice of Privacy Practices
Consent to Release Information

Note: To download Adobe Acrobat Reader for free, click here .

If you would like Cordova Counseling Center to coordinate care with another provider (for example, your psychiatrist, endocrinologist, family physician etc.), complete the Consent to Release form above.

Contact Us

Location

Availability

Clinic Hours

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed