Patient Forms

Please fill out the electronic forms and Submit. Using the Submit button constitutes your signature. Please complete the New Patient Information Form, the Credit Card Form, and sign the Outpatient Services Contract. Please submit 48 hours prior to your first appointment. Thank you.

Dr. Joshua Cohen’s Forms:

Payment Information

CPHP is a Fee-for-Service practice meaning I do not accept insurance as a form of payment for services. Instead, the patient is responsible for payment at the time of service. I accept cash, checks, and credit cards (Visa, MasterCard, American Express) as forms of payment. If you pay by check, you should know that there will be an additional $40.00 fee for checks returned for insufficient funds.

What's TPC?

Many people experience challenges in life that can be resolved most effectively with the help of a professional. Whether the challenge involves depression, anxiety, interpersonal problems, or problematic substance use, the professionals at CPHP have the training and experience to guide effective change.
When one’s issues are more extreme and traditional weekly therapy has not achieved desired results, Therapeutic Placement Consultation is an alternative approach to help people access additional resources.