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Appointments

To make an appointment with our office, please call Christian Psychological Center at 901.458.6291. New clients will be referred to our intake coordinator for an appointment to be scheduled; an initial review of any applicable insurance information; and, answers to questions which you may have.

To better serve your needs, please bring the applicable forms listed below, along with your insurance card(s), to your initial appointment. (These forms should also be completed to update any change in information for existing clients or to update records for clients not seen in the past six months.)

The appropriate forms may be accessed by simply clicking on the appropriate form name(s) below.

  1. Your form will open in a format called “PDF”, which requires Adobe Reader to read. If you do not have Adobe Reader, you may download it free by clicking here.
  2. Print the form on your printer.
  3. Complete the form.
  4. Bring the forms with you to your next scheduled appointment.
  5. Be certain to obtain any required insurance approval or authorizations prior to your visit.

New Patient Intake Form (All clients) New Patient
Adult Background Information (All Clients Age 17 and Older)
Child and Adolescent History (All Clients Age 16 and Under)

Information for your records only

CPC Practice Policies
Patient Notification of Privacy Rights

If you are unable to access these files, click here to send us an e-mail with a request for the forms to be mailed or faxed to you.

For any additional information, please call us at 901.458.6291.

Frequently Asked Questions

1. Will my insurance cover your services? A. Prior to making your initial appointment with our office, we recommend you call your health insurance provider to check on your outpatient mental health benefits and in-network participating providers. If our counselors are out-of-network, your policy may offer out-of-network benefits at a different level of payment.

2. Are we open on weekends and evenings? A. We are not open on weekends. Our normal office hours are Monday – Friday (8:00 AM to 5:00 PM); however, some counselors are available for earlier morning or later evening appointments.

3. What kinds of therapy do we offer? A. Our counselors have different areas of expertise with their own individual style of counseling. Please see our “Staff Page” for additional information about each individual counselor.

3950 Central Avenue Memphis, TN 38111-7602 | Telephone: 901.458.6291 | Fax: 901.323.4848

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