TeleCBT is happy to provide referring physicians with clinic posters, patient information sheets and prescription referral pads free of charge.

Please complete the order form below. Delivery time is typically 7-10 days.

For a quick copy of the current clinic poster, patient information sheet or referral form please see the PDF at the bottom of this page.

Physician referral form PDF
Adobe Acrobat document [2.0 MB]
TeleCBT Pt Info Sheet.pdf
Adobe Acrobat document [377.9 KB]

    Fax referral pads (50 pages/pad)Patient info sheets (50 pages/pad)