Mental Health – Client Intake Forms
To expedite requests for mental health services during the COVID-19 pandemic, we are requesting that individuals download, complete and email the following forms to email@example.com. Please also include a copy or photo of your ID and the front & back of your insurance card.
- INFORMED CONSENT FOR TELE-MENTAL HEALTH SERVICES
- CLIENT GUIDE RECEIPT FORM acknowledging you received and read our Client Guide to Behavioral Health Services
Once we have received your forms, staff will follow up regarding an appointment.