Prepare For Your First Visit
Following is a list of forms that may be required by your provider as you pursue treatment for yourself or a family member. They are supplied in PDF format for ease of printing and in turn filling out as requested by your provider.
- Financial and Billing Information
- Patient Information Sheet
- Behavioral Health Rights and Responsibilities
- Acknowledgment of Receipt of Joint Notice of Health Information Practices
- Consumer Health Inventory: English
- Consumer Health Inventory: Spanish
- Birth and Development History
- Consent to Treatment Form
- Medical Intake Form
- Medication Review
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Rodney Dean, MDPsychiatryView Profile
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Kevin ReynoldsBehavioral HealthView Profile
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Lindsey KinneyBehavioral HealthView Profile
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Nicole Thomas, ARNP,MSN,MHed,PMHNP-BCBehavioral HealthView Profile
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Britney RandolphBehavioral HealthView Profile
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Kristine Gross, ARNP-BC,PMHCNSBehavioral HealthView Profile
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Deb MeissnerBehavioral HealthView Profile
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Brittany MillerBehavioral HealthView Profile
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Tarah Devlin-LawlerBehavioral HealthView Profile
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Denise KinneyBehavioral HealthView Profile
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