CNS

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  • Individual Care Plan
    • The Levels of Care
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    • ADHD
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  • Our Services
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    • Integrated Care Diagram
• Science of CNS
  • The Limits of Medication
  • Research Shows
  • The Spectrum of Integrated Care
  • Integrated Care for Co-Occurring Disorders
• Resources
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  • How to Enroll

REGISTRATION PAPERWORK

Below is the registration paperwork needed to enroll in CNS.

Before you fill out the forms, please do the following:

1. Call us at 310-440-9800 ext. 1 to speak to a CNS Intake Coordinator.
2. Answer the initial questionnaire with the CNS Intake Coordinator.
3. Click on and complete the forms listed below. Click Submit online or fax back to 310-440-9810. Please note that some people with Macs are having difficulty submitting forms online. If this is the case for you, then print out and complete by hand and then fax back.
4. Please also PRINT the completed forms and bring them with you to your appointment.
5. When we have received your paperwork, our Intake Coordinator will call you to schedule an initial assessment appointment.

Registration Paperwork:
1. Agreement Forms
2. History Forms

Please be sure to complete all pages, sign & initial where necessary, and return all paperwork 48 business hours prior to your initial appointment in order to confirm it. Please note that our re-scheduling and cancellation policy includes a necessary advanced notice of 48 business hours otherwise the regular appointment fee will be assessed.