Behavioral Health Forms and Brochures

Forms

CAGE-AID Form

Client Information Form

Consent to Treat Form

Consent for Data Management Form

Consent to Share Form

Doctor and Emergency Consent Form

External Referral Form

HIPAA Privacy Notice and Acknowledgement Form

Payment Agreement Form

Primary Care Consent Form

Notice of Confidentiality Form

Telehealth Informed Consent Form

 

Brochures

Behavioral Health Division Brochure

Complaints Brochure

New Focus Brochure

STD Brochure

TB Info Brochure

 

Additional Information

Alcohol Use in Pregnancy

 

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