Consent and Release Forms

If filling out forms digitally, you will need Adobe Acrobat Reader to properly sign documents. Otherwise, we encourage clients to print off and fill out documentation before their appointment. Forms are also available at locations and can be filled out in lobby.

Please email CMMHC Authorization for Disclosure of Health Information forms to HIMDept@cmmhc.com.

All other forms can be emailed to care@cmmhc.com with the subject line being the name of the provider requesting the information.

CMMHC Authorization for Disclosure of Health Information–Online form

CMMHC Authorization for Disclosure of Health Information–PDF fillable

Email Acceptance Form

Billing Payer Release

Authorization for Electronic Communication – Texting