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 your patient paperwork online!
Behavioral Health Adult History Form
Behavioral Health Authorization of PHI
Behavioral Health Adolescents 13-17 Form
Behavioral Health Child History Form
Behavioral Health Consent Form
Patient Intake Form 2020
Please view or print our forms here.
Patient Intake Form 2021
2020 Discount Program Application
2020 Discount Program Details
BH Patient Expectations and Consent Form
Behavioral Health Adolescents 13-17
Medical Release Form
Dental – Intake Form
Dental – Your Medical Heath History