Complete Neuropsychology Services, Inc.
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  • Neuropsychology Services
    • Evaluation Services
    • What's an evaluation like
    • Therapy & Treatment
    • Presentations & Workshops
    • Payment for Services
    • Resources
  • Insurance Information
  • Meet our Providers/Staff
  • Documents & Forms
  • Patient Portal
  • Virtual Telemedicine
  • Contact Us
  • Join our Team
  • More
    • Home
    • Neuropsychology Services
      • Evaluation Services
      • What's an evaluation like
      • Therapy & Treatment
      • Presentations & Workshops
      • Payment for Services
      • Resources
    • Insurance Information
    • Meet our Providers/Staff
    • Documents & Forms
    • Patient Portal
    • Virtual Telemedicine
    • Contact Us
    • Join our Team
Complete Neuropsychology Services, Inc.
  • Home
  • Neuropsychology Services
    • Evaluation Services
    • What's an evaluation like
    • Therapy & Treatment
    • Presentations & Workshops
    • Payment for Services
    • Resources
  • Insurance Information
  • Meet our Providers/Staff
  • Documents & Forms
  • Patient Portal
  • Virtual Telemedicine
  • Contact Us
  • Join our Team

Download Documents & Forms

See below to download a PDF of our frequently requested documents and forms. Note these are not available for e-signing.


 Please return documents as instructed or by the method most convenient for you. 


All forms can be sent to your email to complete and e-sign via Adobe Sign (HIPAA-compliant) upon request. There is an option to download a copy of any agreement after you e-sign.


Paper copies are available at all three locations or by US mail upon request.


Download Adobe Acrobat Reader for free.


Please do not hesitate to contact our office if you have any questions or concerns.

Clinic Policies & Informed Consent (pdf)

Download

HIPAA Notice (pdf)

Download

Record Access Request (pdf)

Download

Release of Information Authorization Sending records from CNS (pdf)

Download

Release of Information Authorization Sending records to CNS (pdf)

Download

Client Authorization Revocation (pdf)

Download

Neuropsychological Evaluation Referral (pdf)

Download

Credit Card Authorization (pdf)

Download

Demographic Form (pdf)

Download

Adult History Form (pdf)

Download

Child History Form (pdf)

Download

Parent of an Adult Developmental History Form (pdf)

Download

Complete Neuropsychology Services, Inc.

Ann Arbor - Brighton - Grand Blanc

phone (734) 386-0041 - Fax (734) 480-8870

Copyright © 2025 Complete Neuropsychology Services, Inc. - All Rights Reserved.

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