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New Patients

  1. CLICK HERE to print and fill out the Application for Membership form.
  2. CLICK HERE to print the Dear Health Care Practitioner form.
  3. CLICK HERE to print and fill out the Request for Release of Information form.
  4. CLICK HERE to print the Physician’s Statement of Diagnosis form.
  5. CLICK HERE to print and fill out the Release Form for Medical Practitioners.
  6. Fax, mail or deliver in person the completed Application for membership form to the CSCS.
  7. Fax, mail or deliver in person a completed Release of Information form to the CSCS.
  8. Deliver in person a Dear Health Care Practitioner form to your doctor.
  9. Deliver in person a Physician’s Statement of Diagnosis form to your doctor. Fax or deliver in person a signed copy to the CSCS.
  10. Deliver in person a Release Form for Medical Practitioners to your doctor.
  11. You will be contacted by CSCS staff. Contact us if you have any questions or concerns.