Intake and Consent Forms
Intake
Individual adults should complete the adult intake form. For families, couples, partners/spouses, each individual should fill out an adult intake form.
For instructions on completing an intake form for children and adolescents, please contact our clinic at 844-573-3146.
Consent Forms, Client Rights & Responsibilities, HIPAA Notice
Consent to Release Information to Cohen Veterans Network
Penn Patient Bill of Rights & Responsibilities
Click here for translations of the Penn Patient Bill of Rights.
Cohen Clinic Client Rights & Responsibilities
HIPAA Notice of Privacy Practices
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