New Client Forms

We have moved to an online system for completing new client forms. If you wish to schedule an appointment, the administrative staff can set up your access to our online system for completing the required forms (Patient Portal). Most clients find this the easiest way to complete the required forms. Alternatively, you can request that the forms be emailed to you, so you can download them, fill them out, and return them via the Patient Portal system or secure email. If a client absolutely requires it, paper copies of the forms can be completed in person in the office.

If there is anyone with whom you would like your clinician to share information (a psychiatrist, medical doctor, caseworker, etc.) please complete a RELEASE OF INFORMATION FORM, available on the Patient Portal, being sure to include contact information.

If at any point during your relationship with our office you feel wronged, you may complete a GRIEVANCE FORM and submit it to ClearView's front office in Fairfield, in person, secure email via Patient Portal, fax or postal mail.

We would love to get your feedback on how you feel our front office, your clinician, and our office in general are doing. Please complete the FINAL CLIENT SATISFACTION SURVEY to help us improve our service to you and future clients. These surveys can be submitted to the front office in Fairfield or via our secure email on the Patient Portal system.

Our Patient Portal system is a secure, HIPAA compliant email system available to current or scheduled clients.