Make an Appointment

To make an appointment with our staff, either complete the Individual First Form or the Marital/Family First Form depending on what type of counseling you are seeking. If you have any questions about the forms, please call us at 901-458-6291.


Complete Paperwork

To better serve your needs, please bring any additional applicable forms, along with your insurance card(s), to your initial appointment. These forms would be emailed to you from the CPC office.


Arrive for Appointment

On the day of your appointment, please arrive at CPC 15 minutes early for processing. We are located at:

3950 Central Avenue
Memphis, TN 38111

Patient Intake Forms

In order to schedule your appointment, please download and complete the appropriate “First Form” below. (For marital/family counseling or the ECC program, also complete the Marital/Family first form below.) You can email the completed form(s) to, fax to (901) 323-4848, or drop it by the office. Once we have received the form(s), we will contact you to schedule an appointment.







Please bring applicable forms along with your insurance card(s), to your initial appointment.

Policies and Notification of Rights