Crosskey Psychological Services, Inc.
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1709 Legion Road Suite 221 Chapel Hill, NC 27517              262-623-4086          [email protected]
If you're a new client, please complete the following forms and bring them with you to your first therapy session:

Adult Intake Form
File Size: 80 kb
File Type: docx
Download File

Therapist Client Agreement
File Size: 39 kb
File Type: docx
Download File

Child or Adolescent Intake
File Size: 60 kb
File Type: docx
Download File

Good Faith Estimate for Self Pay Clients
File Size: 14 kb
File Type: docx
Download File

Telemental Health Informed Consent Form
File Size: 40 kb
File Type: doc
Download File


If you would like your clinician to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Authorization to Release Information Form
File Size: 51 kb
File Type: rtf
Download File

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