Behavioral Health Services (BHS) Patient Forms
Download, complete, and bring to your appointment. For questions, please
BHS Child Intake Form
BHS Client Intake Form
BHS Client Information
BHS PRIVATE Client Financial Assistance Application
Release of Information Form (in the Adult/Child Intake Forms) must be completed in its entirety before
any medical records can be released. The patient's signature and a
copy of their photo ID is also required, along with a witness signature.
(It can be anybody over the age of 18).
Dr. Pre-Appointment Forms