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

Once you schedule an initial consultation, please fill out these forms prior to arrival. Please click on the applicable form(s) below (as indicated by the Intake Coordinator). The form will launch a Word Document on your computer, allowing you to digitally add the requested information, or to
print the document and fill it out by hand.

PLEASE SEND ALL COMPLETED DOCUMENTS TO forms@southfieldcenter.com 24 HOURS PRIOR TO THE FIRST INTAKE APPOINTMENT.

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