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Couples Therapy

Forms

Documents Available for Download

Prior to your first visit to Brightland Health, you may download and complete the New Client Intake Form at your convenience.

New Client Intake Form

Notice of Privacy Practices

Credit Card Authorization Form

HIPAA Authorization Form

Telehealth Consent Form

No Show: 24-Hour Cancellation Policy

Medical Records Request Form

Insurance Update/Change Form

ADHD Self Report Scale

Mood Disorder Questionnaire

Generalized Anxiety Disorder 7-Item (GAD-7) Scale

Patient Health Questionnaire (PHQ - 9)

PTSD Checklist for DSM-5

Medication Refill Policy

- NEW

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