First Visit Forms -Behavioral Health and Wellness Clinic

On your first visit to the Behavioral Health and Wellness Clinic (BHWC), you will fill out an informational form (either for yourself or your child), and sign other documents indicating your consent to treatment and acknowledgment of policies and practices of the BHWC.  You may cut down on the time that you would otherwise need to come early to this first visit if you download and fill out these forms beforehand and bring them with you to your first appointment.  If you forget them, they will be available at the BHWC, but will take some time to fill out, so please be patient with the process.  Such forms are needed for running the clinic and to facilitate the best possible provision of services for our clients.

PLEASE PRINT AND READ ALL THE FOLLOWING FORMS, AND FILL OUT ANY INFORMATION REQUIRED, BUT PLEASE DO NOT SIGN ANY FORMS PRIOR TO COMING IN FOR THE FIRST VISIT.

New Client Information Form

Important Information for Clients of the BHWC

HIPPA/Privacy Information Sheet 

Client's Rights & Responsibilities

Grievance Policy

(All documents are PDFs and require a PDF reader to view. Adobe Reader can be downloaded here)