Get a head start on your treatment by filling out this downloadable form as completely and honestly as possible, and bringing it with you for your first visit. This will allow us to better determine your treatment plan, and will save time by not having to fill out the form the day of your appointment.

Download the CCA Intake Form Here

In order to download and print this PDF form, you will need the Adobe Acrobat Reader installed on your computer. Download the most recent version of Acrobat Reader here.