Your Patient Portal

Our Patient Web Portal Provides Fast and Secure Access to Your Health Information

Convenient Online Access

Ask a staff member to learn more about the online patient portal

or visit the portal HERE.

With your busy life, it can be hard to stay on top of your health care – even though it’s the most important thing of all. Our online patient portal allows you to communicate with us easily and safely – according to your schedule.

Using your own secure PIN you can log into the online patient portal 24 hours a day, 7 days a week from the comfort and privacy of your home or office.

The Axis Integrated Mental Health patient portal allows you to;

  • Request prescriptions and refills
  • View appointments
  • View billing statements and balance
  • Review your lab results
  • Make secure credit card payments
  • Communicate with your provider
  • View personal health information
  • Browse health facts and information
  • Update demographic information

Office Policies

Patient Forms

Upon finishing any of the necessary forms below, please fax or email them following the provided instructions. If the instructions do not include an email or fax, please send the completed forms to supportstaff@cbhapc.com.

  • General Office Policy

    Attached you will find the most up-to-date office policies regarding; canceling or rescheduling of appointments, NO SHOW/LATE CANCELLATION policy, medication refills, paperwork/forms or medical records requests.

    Get Started

  • Financial Policy

    Attached you will find the most up-to-date financial policies regarding; acceptable payment methods, service/administrative fees, No Show/Late Cancellation fees and Collection fees.

    Get Started

  • Client Intake Form

    If you are seeking to become a new client of CBHA please complete this form and fax it to (860) 823-1170, drop if off at any CBHA location or email it to intake@cbhapc.com. A member of the Intake Department will contact you within 24-48 hrs of receipt.

    Get Started

  • Intake Assessment Form

    If you are a provider and wish to refer your client for out-pt treatment from a higher level of care, please complete this form and fax it to (860) 823-1170. A member of the Intake Department will contact you within 24-48 hours of receipt.

    Get Started

  • Client Agreement for Buprenorphine (SUBOXONE) Treatment

    Please read and review the full Suboxone Contract, then sign and submit this form if you are seeking to enroll into the Suboxone Program.

    Get Started

  • Spravato Referral Form

    If you are a provider and wish to refer your client for Spravato, please complete this form and fax it to (860) 823-1170 or email intake@cbhapc.com The Spravato Coordinator will contact you within 24-48 hours of receipt.

    Get Started

  • Specialized Services Intake Assessment Form

    If you are a provider and wish to refer your client for out-pt substance abuse treatment from a higher level of care, please complete this form and fax it to (860) 823-1170. A member of the Intake Department will contact you within 24-48 hours of receipt.

    Get Started

  • Therapy Verification Form

    For clients who are required to seek therapy and see a provider outside of CBHA, this form is required to show proof of on-going treatment.

    Get Started

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