Welcome to the forms page. Please select the option below for the form that you need. If you would like to schedule an appointment for psychological or neuropsychological testing, counseling services, primary care services or any mental health service please complete the Innovative Health Care Intake Packet. If you just need to authorize us to give or receive your health information, please complete a Release of Information Form for any of our programs. Click the corresponding link below to get started. If you are unable to fill in the online form, please contact us for assistance. For all other forms, scroll through the list and click on the corresponding form to get started.
We are currently not accepting new Adult testing referrals. We are however, doubling down on our dedication to providing quality psychological and neuropsychological testing services for children and teens.
IHCC Electronic Forms
Testing, Counseling, and all other Mental Health Services
The former Testing Center Request Form and the Counseling Admission Packet have been incorporated into the new Intake Packet.
Our forms are hosted with our forms partner Jotform.com.
Service Coordination Forms
IHCC PDF Forms...
ICANS and Medicaid Forms
Click to Access Forms
Sliding Fee Scale (Behavioral Health)
Click to Download