Please complete the four forms below to become a new patient at California Center for Behavioral Health. Each form takes a few minutes. Once all are submitted, our team will reach out to schedule your first visit.
Required for New PatientsPatient information, medical history, current medications, symptoms, and personal history.
Appointment policies, missed appointment fee, billing and payment responsibilities.
Required if you'll be seen via video visit. California residents only.
Confirms you've received our Notice of Privacy Practices.
Authorize us to send appointment reminders, refill notifications, and care-related messages via text.
Authorize us to share your health information with another provider, family member, or agency.