Forms

Fill Out Our Forms Today

If you do not have a scheduled appointment with CMPS, please follow this link to complete a prospective new patient registration form. If you have a scheduled appointment with CMPS, please download, complete and return the appropriate forms below to CMPS.

If you are unable to access the forms on the Portal, you may download, complete and mail or deliver the appropriate forms below, prior to your appointment. Please mail the forms to 1090 S. Tamiami Trail, Sarasota, FL 34236, or email the forms. 

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Notice of Privacy Practices

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New Patient Registration for Adults

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New Patient Registration for Children and Adolescents

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Existing Patients for Telehealth Release

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Release of Medical Information

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Telehealth Instructions

CMPS will continue to provide top-quality care with telehealth for almost all services including: therapy, psychiatric medication management, psychological testing, and educational consultation. TMS and Spravato treatment are postponed. For most insurances, telehealth is covered the same as if you came into the office (co-pay, deductible). If you need to cancel your appointment due to illness, you will not be charged the late cancel/any show fee during this time.

CMPS Offices

Bradenton, FL: (941) 346-6460
Brandon, FL: (941) 363-0878
Coral Springs, FL: (954) 340-0888
Fort Myers, FL: (239) 936-1336
Jacksonville, FL: (904) 399-0324
Jacksonville, FL – San Jose: 941-363-0878
Jacksonville Beach, FL: (904) 456-0002
Jacksonville University, FL: (904) 399-0324
Lakewood Ranch, FL: (941) 346-6464

Largo, FL: (727) 586-0636
Nocatee, FL:
(904) 824-7733
Orange Park, FL: (904) 278-4999
Orlando East, FL: (407) 789-1080
Orlando West, FL: (407) 523-1213
Sarasota, FL – Main: (941) 363-0878
Sarasota, FL – Bee Ridge: (941) 499-0463
St. Augustine Beach, FL: (904) 824-7733
St. Augustine, FL 210/NW: (904) 824-7733

St. Petersburg, FL:(727) 564-9955
Tampa, FL:
(813) 678-2373
Tallahassee, FL: (850) 792-1025
Venice, FL: (941) 346-6465
World Golf Village, FL: (904) 824-7733
Fairhope, AL: (251) 517-3175
Huntsville, AL: (256) 533-9393
Madison, AL: (256) 325-2388
Mobile, AL: (251) 662-9466

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