Mental Health Assessment

• Privacy notice
• Payment Procedure
• Consumer Information Packet
• Patient Contract for Controlled Scripts
• Informed Consent
• Parental Informed Consent
• Receipt of Privacy and Other Info Form
• Type of Treatment Available
• Fee and Payment Agreement
• Insurance Auth and Financial Response
• One Time Auth (HIC)
• One Time Auth (ABN)

Substance Use Assessment

• Privacy notice
• Payment Procedure
• Consumer Information Packet
• Sexually Transmitted
• Disease Sheet Acknowledgement Form
• Patient Contract for
• Controlled Scripts Informed Consent
• Parental Informed Consent
• Receipt of Privacy and Other Info Form
• Type of Treatment Available
• Fee and Payment Agreement
• Consent for Release of SUD Info