Patient Forms

For New Patients

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Admit Packet

Patient Information Form Complete Here
Patient Contact FormComplete Here
Office PoliciesComplete Here
Office Policies for AssociatesComplete Here
Adult Personal HistoryComplete Here
Psychological Associate DisclosureComplete Here
Associate Clinical Social Worker Disclosure – Darcee ChristensenComplete Here
Associate Clinical Social Worker Disclosure – Ray MartinezComplete Here

Child Admit Packet

Patient Information FormComplete Here
Patient Contact FormComplete Here
Office PoliciesComplete Here
Child Personal HistoryComplete Here

IOP Admit Packet

Patient Information FormComplete Here
Patient’s Contact Information FormComplete Here
Office PoliciesComplete Here
Intensive Outpatient Treatment ContractComplete Here
Welfare Contact AcknowledgementComplete Here
Family Support System InvolvementComplete Here
Beck’s Depression InventoryComplete Here
Beck’s Anxiety InventoryComplete Here
Beck’s Hopelessness InventoryComplete Here
Mental Health Patients’ RightsView
Grievance ProcedureComplete Here
Brown Stanley Safety PlanComplete Here
Spirituality AssessmentComplete Here
Massage and Hydrotherapy Intake FormComplete Here