Patient Packets and Consent Forms

Primary Requests and Forms

Request Services

Sliding Scale Request

Records Request Form

Release of Information

Consent Forms

Group Telehealth Consent Form

General Release of Liability Form

Telehealth Consent Form

Program Forms

New Patient/Consent to Treatment Service Forms

BRS Service Forms

EFM Behavioral Health Service Forms

IIP Service Forms

New Developed Nations Forms

WISe Service Forms

Audio, Video, Photo Release Waiver

Demographic Form

Video Gaming Release