Downloadable Forms
Child/Adolescent Evaluation
- Comprehensive Early Childhood History Form (Up to age 4)
- Comprehensive Child and Adolescent History Form (Ages 5-17)
- Child & Adolescent Intake History Form
- HIPAA Consent Form (Ages 0-13)
- HIPAA Consent Form (Ages 14-17)
- Office Policies Agreement and Consent Child Form (Ages 0-13)
- Office Policies Agreement and Consent Adolescent Form (Ages 14-17)
- OVR Evaluation Consent (Office of Vocational Rehabilitation Evaluation only)
- Financial Responsibility for Testing Form
Adult Evaluation
- Comprehensive Adult History Form
- Adult Intake History Form
- HIPAA Consent Form
- Office Policies Agreement and Consent Adult Form (Ages 18+)
- OVR Evaluation Consent (Office of Vocational Rehabilitation Evaluation only)
- Financial Responsibility for Testing Form
Child Counseling
- Child & Adolescent Intake History Form
- HIPAA Consent Form
- Office Policies Agreement and Consent Child Form (Ages 0-13)
Adolescent Counseling
- Child & Adolescent Intake History Form
- HIPAA Consent Form (Ages 14-17)
- Office Policies Agreement and Consent Adolescent Form (Ages 14-17)
Adult Counseling
- Adult Intake History Form
- HIPAA Consent Form
- Office Policies Agreement and Consent Adult Form (Ages 18+)
Miscellaneous Forms
- Credit Card Authorization Form
- Release of Information (General)
- Release of Information (General Ages 14 to 17)
- Release of Information (Physician or Psychologist)
- Release of Information (Physician or Psychologist Ages 14 to 17)
- Teacher Contribution Form
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Educational Resources
The websites below are provided as additional information to those visiting the Cognitive Health Solutions, LLC website. We do not have control over the information provided on these websites: based on the review of our staff, the sites below offer reputable information and may serve as helpful resources.
Professional Organizations
- American Psychological Association
- Pennsylvania Psychological Association
- American Association for Marriage and Family Therapy
- American Counseling Association
General Information for Consumers & Patients
- American Psychological Association for consumers
- National Alliance for the Mentally Ill
- National Alliance for Research on Schizophrenia and Depression
- National Institute of Mental Health
- National Mental Health Association
- National Mental Health Consumers’ Self-Help Clearinghouse
Information on Cognitive-Behavior Therapy
- the Beck Institute
- National Association of Cognitive Behavioral Therapists
- Association of Behavioral and Cognitive Therapies
Information on Mindfullness
- themeditationsite.com – This website offers information about mindfulness, meditation practices, new exercises, and suggestions for improving on your mindfulness skills.
- mindfulnesstapes.com – This website summarizes mindfulness work by Jon Kabat-Zin, and offers products such as mindfulness tapes and CD’s.
Alcohol & Substance Abuse
Mood Disorders
- Depression and Bipolar Support Alliance
- National Foundation for Depressive Illness, Inc.
- Depression Symptoms and Treatment Information
Anxiety Disorders
Attention-Deficit/Hyperactivity Disorder (AD/HD)
- Children and Adults with Attention-Deficit/Hyperactivity Disorder
- help4adhd.org/en/about/myths -Myths and Misunderstandings about AD/HD
- help4adhd.org/en/about/wwk -Information Sheets about AD/HD
- addresource.com – ADD Resource Center
- National Attention Deficit Disorder Association
Autism Spectrum Disorders
- aspergersyndrome.org – Online Asperger Syndrome Information and Support
- National Autism Association
- Autism Research Institute
- Autism Society
Learning Disabilities
- LD On-line (information on Learning Disabilities)
- National Research Center on Learning Disabilities
- Learning Disability Association of America
Information on Special Education Law
- Wright’s Law and the Special Education Advocate
- Pennsylvania Department of Education
- The National Center of Dispute Resolution in Special Education
Information on Americans with Disabilities Act (ADA)
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Community Resources
The websites below are provided as additional information to those visiting the Cognitive Health Solutions, LLC website. We do not have control over the information provided on these websites: based on the review of our staff, the sites below offer reputable information and may serve as helpful resources.
- Easter Seals
- York County Heritage Trust Summer Camps
- York Library Summer Reading Program
- York College Spartans Summer Sports Camps
- Camp Green Zone (Asthma Camp)
- YWCA Summer Camps
- Dreamwrights Youth and Family Theatre
- Girl Scouts
- Boy Scouts
- National Alliance on Mental Illness
- Autism York
- Bell Socialization Services
- American Red Cross
- Children’s Aid Society
- York County Children’s Advocacy Center
- YMCA
- YWCA
- Catholic Charities
- The Children’s Advocacy Project
- Expertise
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