Forms & Documents > Client Application_Intake Forms > BH Shared Intake Forms

Name Description Type Action
Application-for-Services_English_11-30-12 Application for Services File Download
Consent-for-Treatment_v5_1-23-18 Consent for Treatment_1-23-18 File Download
Consentimiento-para-Tratamiento_1-23-18 Consentimiento para Tratamiento_1-23-18 File Download
Solicitud-de-servicios_11-30-12 Solicitud de servicios_11-30-12 File Download
Health-Questionnaire-2014 Health Questionnaire File Download
Cuestionario-de-salud_12-14 Cuestionario de salud File Download
Notice-of-Privacy-Practices_English_5-2017 Notice of Privacy Practices File Download
Aviso-de-Practicas-de-Privacidad_5-2017 Aviso de Practicas de Privacidad File Download