For Clients & Families

Our team is looking forward to helping you!

If you need additional assistance or have any questions, please call us directly at 920.750.7000.

Please note: Catalpa and many community agencies are experiencing high volumes of new patient requests at this time. To respond to this demand, our team has developed a partnership program where we keep track of the availability of mental health therapy services around the community. We do our best to schedule you with a Catalpa Health therapist, but also help get you connected if services are needed with another agency as quickly as possible. Additionally, if psychiatry services are needed we can schedule that right away at the time of intake with one of our Catalpa psychiatric providers. 

FOR REVIEW: Policy & Procedures 

Telehealth Consent

HIPAA Privacy Policy

Client Policy & Procedures

 

FOR SUBMISSION: Client Intake Forms

(Electronic Forms)

Acknowledgement of HIPAA Privacy Policy

Informed Consent for Treatment

For clients ages 14 and older, the consent for treatment form must be signed with a parent.

Financial Agreement

Client Insurance Information

 

Client Family History Form

Please make sure to fill out and submit online forms at least 48 hours before their first appointment (or as soon as possible). When you submit, all answers are saved to a secure mailbox. 

If completing a PDF form instead of the online submission, please print, sign and send to:

Catalpa Health
Attn: Front Desk
4635 W. College Avenue
Appleton, WI 54914

*We are beginning to offer some open clinic hours for paperwork to be completed or dropped off. Please call us to confirm availability at 920-750-7000 ahead of your visit.  

Authorization for Online Access to Health Information 
Form for a Psychological or Neuropsychological Testing Appointment

 

Getting started with Catalpa Health

Reaching out for help for your child can be difficult and we want you to know you are not alone. We understand and are here to help and give you hope.

 

What Does It Mean To Be A Catalpa Kid?