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Calm Sea

FORMS

Click on the download button to download the form.  Please complete all paperwork and sign prior to your first appointment.  Thank you!
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Intake Form

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Autumn Road

Credit Card Authorization Form

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Books

Release of Information (ROI)

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Alcohol and Drug Assessment

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Sliding Scale 

Fees

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Quick Links

We pride ourselves on being a safe place for all ethnicities, socio-economic statuses, gender identities and sexual orientation.

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(262) 375-1116

W67N222 Evergreen Blvd

Suite 209

Cedarburg, WI 53012

©2025 by Northshore Clinic and Consultants, Inc.

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