Participant Forms

The Cancer Support Center is a provider of mental healthcare services by licensed professionals. Although all of our programs are offered at no cost to participants and insurance will never be billed, we do require all new participants to complete consent and information forms. Participant forms for children, teens, and adults can be completed in person at both of our locations or completed ahead of time via the PDF forms below.

For Adult Participants

Telehealth Consent Form

Participant Information Form

For Child and Teen Participants

Child/Teen Consent and Information Form

COVID-19 Consent Forms

COVID-19 Liability Waiver (Printable)

COVID-19 Liability Waiver (Online)

Have Questions for our Staff Before Signing Up?

Are you new to The Cancer Support Center and want to get in touch with a member of our therapeutic staff to learn more about our programs? Complete the form below and a member of our staff will reach out to you with more information.