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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. 

If you are interested in psychological testing or an ADHD evaluation for your child, please know that these specialty services are in high demand. The appointment we will schedule with you now will be an opportunity to share your concerns with an intake specialist to see whether your child would qualify for these services. If so, a referral will be made and your child will be put on a waitlist, with a plan to be contacted in the fall to schedule the evaluation. 

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

Once forms are submitted, please wait 24 hours to allow time for us to receive and update your child’s chart with the provided information. You can then call us directly, Monday – Friday, at 920-750-7000 to schedule your child’s initial appointment.

Thank you for your patience and assistance in helping make this process as smooth as possible. 

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?