FORMS


If you need a password, please call CAPS at 407-823-2811.

To access our online forms, please click on this link: http://bit.ly/CAPS-FORMS

Submit CCAPS-34

Submit an ID

In the event of technical difficulties for the above items, please use this link to submit your information: Qualtrics Forms

 

FREQUENTLY USED FORMS:

CAPS Appeals Form

CAPS Records Request or RECORD REQUEST – PDF version

CAPS Release of Information Form or ROI – PDF version

CAPS Telemental Health Services Informed Consent Form

CAPS Informed Consent for In-Person Services during COVID-19

Psychological Well Being

PDFs 

Instructions on Submitting UCF CAPS Forms using Qualtrics

To submit one of the forms below electronically, please 1) download the form, 2) open in Adobe Reader (not in the web browser), 3) complete all the items, and 4) sign the form digitally. Then 5) Save the document to your device, and 6) upload the completed document into the Qualtrics link found at the bottom of the page.

Bay Care Billing Form and ROI

Form D – Academic Services

CAPS TAO Treatment Informed Consent

Parental Consent-Spring 2021

Minor Intake Packet-Spring 2021

To submit documents or PDF Forms to CAPS, please use the following link: http://bit.ly/CAPS-Upload

 

Only drop your forms during CAPS business hours (Monday-Thursday 8:00 am to 5:15 pm and Friday 8:00 am to 4:30 pm).  There will not be a therapist available to review documents outside normal work hours.  If you need immediate assistance call CAPS at 407-823-2811 during regular business hours, press 5 after hours, or if this is a life threatening emergency call 911 or go to your local hospital.  Please note that Qualtrics is not a secure form of transmitting confidential information.