Patient Forms Demo

HIPAA NOTICE OF PRIVACY PRACTICES

CONFIDENTIAL CLIENT INFORMATION

ADMISSIONS TESTING FORM

SERVICE AGREEMENT FORM

TELETHERAPY SERVICES AGREEMENT

RELEASE OF INFORMATION

REGISTRATION POLICIES & FINANCIAL AGREEMENT

DIVORCE & CUSTODY AGREEMENT

CREDIT CARD FORM

FINANCIAL AGREEMENT

CONFIDENTIAL CLIENT INFORMATION - ADULT

CONSENT FOR AUDIO RECORDING

SERVICES AGREEMENT -PSYCHOLOGICAL EVALUATIONS

The Center for Cognitive Therapy and Assessment (CCTA) is a mental health clinic that specializes in cognitive behavioral therapy (CBT). With three convenient locations in Falls Church, McLean, and Alexandria, Virginia, the practice offers comprehensive treatment for all types of mood and behavioral disorders in children, adolescents, and adults.

Falls Church:
✆ Appointments and General Inquiries:
703-618-0900
Address: 300 North Washington St., Suite 202, Falls Church, VA 22046

Old Town Alexandria:

✆ Appointments and General Inquiries:
703-618-0900

Address: 1600 Duke Street, Suite 350, Alexandria, VA 22314

McLean:
✆ Appointments and General Inquiries:
703-618-0900
Address: 1497 Chain Bridge Road, Suite 103, McLean, VA 22101

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