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Evaluation and New Client Forms

KUOT-CCC can administer a variety of standardized and informal assessments depending on the needs of the individual client. Based on the evaluation, the therapist will determine what type of services and frequency of treatment the client will benefit from or if therapy services are not warranted.

To make an appointment or for additional information on services and fees, please contact us today. Call KUOT-CCC at 908-737-5940 or email us at


All clients of KUOT-CCC are asked to review and sign the following forms:

    1. Policy and Procedures

    2. HIPPA

    3. Application form

Therapeutic groups

In addition to the above form, please ask our staff to send you the application specific to your group.

HIPPA and Notice of Privacy Practices Form

Adult Client Policy and Procedures Form

Adult Application Form

Pediatric Client Policy and Procedures Form

Pediatric Application Form