Administrative Forms

Access intake, enrollment, and consent forms. Fill out forms online or download printable templates.

Intake Form

Comprehensive patient intake including presenting problems, psychiatric history, and risk assessment.

  • - Presenting problems & symptoms
  • - Psychiatric & medical history
  • - Current functioning assessment
  • - Risk assessment section
  • - Treatment goals
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New Patient Enrollment

Front office enrollment form for demographics, insurance information, and emergency contacts.

  • - Patient demographics
  • - Contact information
  • - Emergency contact details
  • - Insurance information
  • - Employer/occupation
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Informed Consent

Treatment consent forms including HIPAA acknowledgment, privacy practices, and financial policies.

  • - Consent to treatment
  • - HIPAA privacy notice
  • - Limits of confidentiality
  • - Telehealth consent
  • - Financial & cancellation policies
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Emergency Order of Detention

Application for involuntary psychiatric hold for individuals at imminent risk of harm due to mental illness.

  • - Danger to self/others criteria
  • - Mental illness documentation
  • - Physician certification
  • - State-specific resources
  • - Print-optimized format
Fill OnlineDownload

Note: These forms are customizable templates. Interactive forms can be printed directly from your browser. Downloaded templates are available in PDF format for offline use.