Get Started at The Southfield Center

The first step to getting started at The Southfield Center is to set up an initial consultation with one of our skilled clinicians. Contact our Intake Coordinators at (203)202-7654 or at info@southfieldcenter.com, and they will be able to assist you.

Get Started at The Southfield Center

STEP ONE: Call our office at (203)202-7654 to speak with an Intake Coordinator. The Intake Coordinator will schedule you for an initial consultation, as well as guide you to the applicable forms required for the consultation.

STEP TWO: Please click on the recommended forms below. The click will launch a Microsoft Word Document on your computer, allowing you to digitally enter the information, or to print the documents and fill out by hand.

STEP THREE: Send the documents to forms@southfieldcenter.com approximately 24 hours prior to your consultation.

Child/Adolescent Intake Form
Insurance Preauthorization Form
HIPAA Privacy Notice
Consent to Release or Obtain Information
Adult Intake Form