Welcome to CPC of Virginia. If you have made your initial appointment with your counselor, they may have sent you to this page in order to download and fill out the initial paperwork for your appointment.
Please review CPC’s Covenant of Understanding and Notice
of Privacy Practices, to learn important and necessary information about your counseling appointment.
Please print and fill out the documents with (*) below, and bring them to your initial appointment with your counselor.
If you need clarification about how to fill out any of the forms,
please contact your counselor for further information.
If you have any questions about the information in our Covenant
of Understanding or CPC’s Privacy Practices, your counselor will be
happy to answer your questions at your first appointment.
Thank you.
Covenant of Understanding (for your review)
CPC Privacy Practices (for your review)
Acknowledgment of Receipt of Privacy Practices* (please print and fill out)
New Client Information Form *(please print and fill out)