Community Counseling Centers of Central Connecticut Inc.

We treat people not privilege...

Brochures
These brochures are offered to fellow clinicians
and to the general public.
They are free for download.

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Board Member and Supporter Brochure
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Counselor Supervision Brochure
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Professional disclosure statement for supervision
Private Practice Related Information
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Considerations for Designing and Opening a Private Mental Health Practice.
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Major Insurance Company Contact Information
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Documentational Requirements For Practice
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Basic Marketing of a Practice Excerpt
 
Sample Treatment Forms for Mental Health Counseling
These forms are being shared as samples to help guide the development of private practice documentation. They may not include everything required for all areas (geographic and specialty) and should be considered only a good start. Research your specific needs and local/ state/ government requirements prior to using any form. CCC nor Doc Warren assumes any liability regarding the use of these forms; they are being supplied for educational purposes only and it is the responsibility of the user to ensure that they meet their specific requirements.

A packet containing all treatment forms in a Microsoft word format that can be easily downloaded to your computer and modified to your specific practice needs is available free to anyone who donates $100.00 or more to the Serve The Servants Fund.
*CCC is a 501(c) 3 Not For Profit- all donations are tax deductible.

 
 
General Office Forms
A sample of forms used either as part of a client's chart or in connection with the needs of the clinical office.

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Sample Consent To Treatment Form 2009
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Client Cover Sheet Sample 2008
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Client Insurance Information Form Sample 2008
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Release of Information Sample 2008
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HIPAA Consent Sample 2008
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Intake Sample 2008
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Fax Cover Sheet Sample
 
Narrative Style Forms
   
These forms offer a more traditional narrative style of documentation.

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Psychosocial Assessment Summary Sample 2008
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Initial TX Plan Sample 2008
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Master Tx Plan Sample 2008
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Session Notes Inclusive Sample 2008
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Session Notes Sample 2008
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Discharge Summary Sample 2008
Check Off Style Forms
Check off style forms serve to help lessen the time required to fulfill the paperwork requirements of clinical practice without losing quality. They also serve to help bridge the gap between traditional paper records in a time where more and more records are becoming paperless. These forms help establish potential "pull down" or "drop" feature choices that may be found in the paperless forms. They may assist in the development of future paperless forms and allow for more easily transferable data methods once charts start being transcribed into the paperless environment.

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Psychosocial Assessment Summary
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Sexual Assessment Summary
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Initial TX Plan
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Master TX Plan
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Session Notes
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Discharge Summary
Miscellaneous Doc Warren reports, articles, handouts etc.
This section contains older writings that have been used as part of training and other educational endeavors. Some information may be dated. Formatting may not be consistent with today's standards and writing style may be very informal (in the case of "typed" presentation or lecture notes).

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Preschool Teacher & Parent Classroom Toolbox Quick Reference
   
Why not make a tax deductible donation today?!

CONTACT US:
Bristol Office (Tuesdays and Wednesday): 860-582-7904
Wolcott, Pillwillop Therapeutic Farm (Mondays, Thursdays, Fridays and Saturday (by appointment only):     203-879-9485
  

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