To request psychological assessment/testing services from CIFT Counseling, please fill out the form below as complete as possible and submit. Once your submission is received, we will reach out to you to discuss next steps.


NOTE: This form is intended for those seeking specific Psychological Assessment/Testing Services. If you are wanting to request an appointment for counseling services with CIFT, please click here to request an appointment with one of our therapists.


    NOTE: If you are under the age of 18, please have a parent or guardian complete the form and submit it for you.