New clients need to complete either the adult or child registration form (as appropriate for the client that will be coming to the office.) Once you have an appointment set up by your clinician(s) you will be asked to complete this form. If you can’t complete the form all-at-once, you can enter an email address and click “save.” That will send you an email link to continuing the form at a later time. Once a form is electronically submitted, it is no longer editable.
Insurance companies require a periodic update to the client information we keep on file for you. If you have been asked by your clinician(s) to fill out an update or renewal of benefits, this is the link you’ll need to use.
If you have been asked by your clinician(s) to complete a client history packet online, this is the link for that form. Forms can be “saved” to continue later if you don’t finish it on the initial launch. There are adult and minor (youth) versions of this form.
Agreements and Authorizations
The financial agreement form is used to authorize online payments.
The release of information form is used to authorize information to be sent to Clearwater from another source or from Clearwater to another destination.
If you have been asked by your clinician(s) to complete an online Client Assessment form, this is the link you need to follow.
Files uploaded by request
Select the ID/insurance link to upload images of the front and back of your insurance card and/or government-issued ID. If any images contain the front and back together, you do not need to upload two copies of that image.
The income verification form is only filled out when requested and is used to help determine eligibility for sliding scale fee and payment plans.