CAPS Qualtrics Forms

CAPS Qualtrics Forms

In the event that we experience technical difficulties, please utilize the following links to submit your information to CAPS.


Intake Packet

Single Session Packet

Triage Packet-New Client

Triage Packet-Returning Client

Please submit 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.