FORMS

To Schedule a NEW appointment

• Please complete the Appointment Request Form. This can be completed on a laptop, desktop computer, and/or a mobile device.

• All fields must be completed, including insurance information.

  • We are in-network providers for Blue Cross/Blue Shield, UPMC HealthPlan, and Medical Assistance (CCBH and CBH). We are NOT in network for UnitedHealthcare, Aetna, Cigna, WPEE, or Tricare.

  • We must be in-network with BOTH your primary insurance AND secondary insurance in order to bill Medical Assistance.

• You will receive a call or email within one week of receiving your request form with your scheduled appointment time. 

Prior to your scheduled appointment

• Please review the Client Information for Assessments and our Fees for Services.

• Three weeks prior to your scheduled appointment, you will receive a confirmation call or email. You MUST confirm your appointment or it may be cancelled.

• Once your appointment is confirmed, you will receive consent, releases of information, and history forms VIA EMAIL that must be completed prior to your appointment.

Questions

• Answers to most of your questions can be found by exploring our service or billing pages.

• Questions about NEW APPOINTMENTS, you may email our intake coordinator at intake@cpnpgh.com.

• Questions or concerns about EXISTING APPOINTMENTS can be sent to your scheduled clinician. Clinician email addresses are on our providers’ page.