Downloadable Forms

Informational Documents
Directions to Office
HIPAA
Parent Policy Letter - Medicaid
Parent Policy Letter - Private Pay
CSLL Payment Policy
Payment Policy-Test and Teach

Intake Documents
Intake Cover Letter
Contact Form
HIPAA Signature
Release of Information
Cancellation Policy Acknowledgment
Payment Policy Acknowledgment

Please print all intake documents and return via mail to:
CSLL
PO Box 2712
Chapel Hill, NC 27515