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Congruent Counseling Services

Congruent Counseling Services

Mental Health and Substance Health Services
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  • Home
  • Services
    • Mental Health Services
      • Individual Counseling
      • Child & Adolescent Counseling
      • Teen Counseling
      • Young Adult Counseling
      • Adult & Senior Counseling
      • Family Counseling
      • Couples Counseling
      • Groups/Workshops
      • Dual Diagnosis/Co-Occurring
    • Outpatient Addiction Recovery Center
      • Adolescents & Teen
      • Young Adult
      • Adult
      • Outpatient Addiction Treatment (IC)
      • DUI/DWI Services (IC)
    • DBT
    • Behavioral Health Concierge Services (IC)
    • Teletherapy
  • About Us
    • Our Team
    • Employment/Careers
    • Accepted Insurances
    • Resources
      • Blog
      • Continuing Education Units
      • Referrals
      • Mental Health Referral Network
    • Testimonials
    • Locations
      • Annapolis, MD
      • Columbia, MD
      • Eldersburg/Sykesville, MD
      • Federal Hill, MD
      • Frederick, MD
      • Millersville/Severna Park, MD
      • Rockville, MD
      • Salisbury, MD
      • Towson, MD
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Congruent Counseling Services
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  • Consent for Client Form
  • Carefirst Satisfaction Survey
  • Couples-Marital-Relationship Counseling Termination
  • CCS Medicaid Addendum
  • Fee Schedule
  • COVID-19 Vaccination Status
  • CareFirst Consent
  • Release of Information (ROI)
  • Client Intake Registration Form
  • Adult ADHD Self-Report Scale
  • Yale-Brown Obsessive Compulsive Scale
  • Couples Counseling Contract
  • GAD-7
  • Patient Health Questionnaire
  • COVID-19 Vaccination Confirmation
  • Referral Source Survey
  • Client Satisfaction Survey
  • Credit Card Authorization
  • Rapid Mood Screener
  • Mood Disorder Questionnaire
  • Brief Addiction Monitor (BAM)

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Please fill out these forms before your appointment

Forms

These forms may be requested by practice staff or your clinician. At a minimum, you will be required to submit the Client Intake Registration Form. If this form is not completed 24 hours before your appointment, we may have to reschedule.

Client Intake

Client Intake Form

Credit Card Auth

Credit Card Auth Form

Release of Info

Release of Info Form

Carefirst Satisfaction Survey

Carefirst Satisfaction Survey Form

Intern Consent Form

Intern Consent Form

Screening Forms

  • Depression/Anxiety Screening Form
  • Brief Addiction Monitor (BAM) Form
  • GAD7 Form
  • Patient Health Questionnaire (PHQ9) Form
  • Rapid Mood Screener (RMS) Form
  • Mood Disorder Questionnaire (MDQ) Form
  • Adult ADHD Self-Report Scale (ASRSZ) Form
  • Yale-Brown Obsessive Compulsive Scale (Y-BOCS) Form

Surveys

  • Client Satisfaction and Process Improvement Survey Form
  • Satisfaction Survey for Referral Sources
  • COVID-19 Screening and Vaccination Form

Additional Forms

  • COVID-19 Vaccination Status
  • Fee Schedule
  • CCS Medicaid Addendum
  • Couples-Marital-Relationship Counseling Termination
  • CareFirst Consent Form
  • Couples-Marital-Relationship Counseling Contract Form
  • Consent for Client Form

Important Links

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Locations

  • Annapolis, MD
  • Columbia, MD
  • Eldersburg/Sykesville, MD
  • Federal Hill, MD
  • Frederick, MD
  • Millersville/Severna Park, MD
  • Rockville, MD
  • Salisbury, MD
  • Towson, MD

Contact Us

410-740-8066

10630 Little Patuxent Parkway Suite 209 Columbia, MD 21044

frontdesk@ccs-ic.com

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Congruent Counseling ServicesLogo Header Menu
  • Home
  • Services
    • Mental Health Services
      • Individual Counseling
      • Child & Adolescent Counseling
      • Teen Counseling
      • Young Adult Counseling
      • Adult & Senior Counseling
      • Family Counseling
      • Couples Counseling
      • Groups/Workshops
      • Dual Diagnosis/Co-Occurring
    • Outpatient Addiction Recovery Center
      • Adolescents & Teen
      • Young Adult
      • Adult
      • Outpatient Addiction Treatment (IC)
      • DUI/DWI Services (IC)
    • DBT
    • Behavioral Health Concierge Services (IC)
    • Teletherapy
  • About Us
    • Our Team
    • Employment/Careers
    • Accepted Insurances
    • Resources
      • Blog
      • Continuing Education Units
      • Referrals
      • Mental Health Referral Network
    • Testimonials
    • Locations
      • Annapolis, MD
      • Columbia, MD
      • Eldersburg/Sykesville, MD
      • Federal Hill, MD
      • Frederick, MD
      • Millersville/Severna Park, MD
      • Rockville, MD
      • Salisbury, MD
      • Towson, MD
  • Forms
  • Contact Us
  • Assessment