Iroquois Center for Human Development
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Mental Health Assessment

  • Privacy notice
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  • One Time Auth (HIC)
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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

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