Download and complete forms before your visit to save time at check-in.
Behavioral Health Forms
Tip: Complete all required forms before your appointment to ensure a smooth check-in process.
Behavioral Health New Patient Registration Form (Required)
Complete this form before your first visit.
All Patients
Complete this form before your first visit.
All Patients
Controlled Substance Agreement (required if on controlled substances)
Agreement outlining the safe use of controlled-substance prescriptions.
All Patients
Agreement outlining the safe use of controlled-substance prescriptions.
All Patients
Controlled Substance Taper Agreement (required if on this plan)
Agreement for gradually reducing a controlled-substance prescription.
All Patients
Agreement for gradually reducing a controlled-substance prescription.
All Patients
Emotional Support Animal Letter Form
Request a letter documenting the need for an emotional support animal.
All Patients
Request a letter documenting the need for an emotional support animal.
All Patients
HIPAA and Consent for Service Form (updated annually)
Consent for treatment and acknowledgment of privacy practices.
All Patients
Consent for treatment and acknowledgment of privacy practices.
All Patients
Insurance Card and ID Photo Form (required for change of insurance)
Upload photos of your insurance card and photo ID.
All Patients
Upload photos of your insurance card and photo ID.
All Patients
Message to Provider
Send a non-urgent message to your care team.
All Patients
Send a non-urgent message to your care team.
All Patients
Psychiatric Consult with Primary Care
Request a psychiatric consultation coordinated with your primary care provider.
All Patients
Request a psychiatric consultation coordinated with your primary care provider.
All Patients
Refill Request Form (a visit may be required first)
Request a refill of an existing prescription.
All Patients
Request a refill of an existing prescription.
All Patients
Release of Information Form (required to release info; update annually)
Authorize the release of your medical records to a designated party.
All Patients
Authorize the release of your medical records to a designated party.
All Patients
Request for Provider to Complete Forms
Request your provider complete a form (e.g., school, disability, or FMLA).
All Patients
Request your provider complete a form (e.g., school, disability, or FMLA).
All Patients
