Here you will find the most used forms at Northwest Health Services. Save time and fill out your forms ahead of time.
We look forward to caring for you!
YOU MAY QUALIFY FOR ANY OF OUR PROGRAMS:
Fill out this form to register as a Northwest Health Services' patient. We'll need patient, billing, insurance and household information.
Intake Form 2020
Northwest Health Services Discount Program is based on a sliding fee which includes medical, dental, behavioral health & pharmacy services. Apply today!
DISCOUNT PROGRAM APPLICATION
DISCOUNT PROGRAM INFO
Review your rights as a patient of Northwest Health
MEDICAL RELEASE FORM
Print your paperwork and forms for a behavioral health appointment ahead of time! Please note that these forms usually take 30 minutes or so to complete. Thank you.
BH Patient Expectations and Consent Form
Behavioral Health Adult History Form
Behavioral Health Child History Form
Behavioral Health Adolescents 13-17