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Now with Primary Care! See our Integrated Services Section.
Access to our online forms

Welcome to the forms page. Please select the option below for the service or form that you need. If you would like to schedule an appointment for psychological or neuropsychological testing, fill out the Testing Center Request Form. For individuals receiving counseling services, please complete the Counseling Services Assessment form.  You may also file a Release of Information 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.

IHCC Electronic Forms

IHCC PDF Forms...

Adult Self Assessment for Med Management

Click to Download

Youth Self Assessment for Med Management

Click to Download

Sliding Fee Scale Application

Click to Download

Questions about filling out our forms?

Call or send us an email and we will be happy to assist you.