CENTER FOR PSYCHOLOGICAL WELL-BEING
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Forms and Documents

Please follow the links requested by your psychologist or our office staff AT LEAST 48 hours prior to your scheduled appointment.
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Bariatric Psychological Evaluations:

Please follow the links below to complete ALL THREE packets at least 48 hours before your scheduled appointment time to avoid needing to be rescheduled.  Please note that you must complete each JotForm and click ‘submit’ before closing the document for it to be saved. Otherwise your information will be deleted for privacy purposes and you will need to fill out the form from the beginning again. All of this information is important in order for Dr. Cranston to provide you with the most productive appointment. Thank you.
  • hipaa.jotform.com/210637301390042
  • hipaa.jotform.com/211116094490045
Be sure to complete this Coordination of Care form so your report can be released to your Bariatric Surgeon:​​
  • hipaa.jotform.com/221025527204140

Fertility Clients:

BAI and BDI:
  • hipaa.jotform.com/220454273193150
Please include your Fertility Specialist's information on this Coordination of Care form so your report can be released to your specialist:
  • hipaa.jotform.com/210595430295052

General Therapy Clients:

Coordination of Care:
  • hipaa.jotform.com/210595430295052

Informed Consent - Return to Office
  • ​https://hipaa.jotform.com/222625789900059

Important Practice Information:

Phone: 810-407-7403
Text line: 810-584-5158
*please note our text line is used for scheduling purposes only*
Email: 
cpwpsychology@gmail.com

Watch for emails from: noreply@therapyportal.com (They may go to your spam/junk folder. Please save this email in your contacts to ensure you receive important emails).

TherapyPortal login link:
www.therapyportal.com/p/cpwpsychology/

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How to join a Telehealth Session from your TherapyPortal account:
​Join a Telehealth Session
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