Initiating Services & Forms

CTC looks forward to the opportunity to assist you and your family!
If you would like to schedule an appointment or for general questions, please call (724) 942-6100.
We participate in many healthcare plans. Our participation allows for the highest benefit coverage for our clients, however this does not guarantee coverage. We advise you to contact your insurance company regarding your specific benefits.


For your convenience, you may download and print the forms below prior to your appointment. To view a form, click on the name of the file to open it (Adobe Acrobat Reader needed). You will then be able to print the form to complete. 

 

 

Forms
Intake Instructions
Case History 0-5 years
Case History 6-18 years
Registration Sheet
Emergency Contact
Health Insurance Benefits Worksheet

Parent Questionnaire