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Welcome to the Child and Family Therapy Center of Macomb

Thank you for your interest in becoming a client at our clinic! As a first step, please complete our pre-registration form below. Our new patient team will review your needs, verify your insurance benefits, and then get back with you. We do our very. best to respond within 2-3 business days. However, please feel free to call the clinic at 586-232-5089 with any questions you may have. 

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**Please note that our wait times are based on clinician availability and each patient's unique needs.**

New Patient Form

Patient's Birthday
Month
Day
Year
Patient's Primary Insurance
Relationship to Insured
Parent
Self
Spouse
Therapist Request
Type of therapy you are seeking
In Person or Virtual
Virtual
In-Person
Combination of Both
Therapy Dog Sensitivities
Is this court referred therapy?
Has there been/is there CPS involvement?
What type of therapy services are you seeking for your child? Please check all that apply.
Location Preference
Washington
Romeo
Both

Please note, offices are only 10 minutes away from each other.

Appointment Day's Preference
Appointment Time Preference
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