Ready to Request an Appointment?
All information submitted through this form is secure, and is HIPAA-compliant.
Need Help Selecting a Clinician?
Check Out our Clinician Finder Tool or our Clinician Comparison Chart
Need help filling out the form?
Email us at intake@cic.associates or schedule a call with CICA’s Practice Coordinator
Please Note: All clients must submit a form to request an appointment.
