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Outpatient Behavioral Health Forms with Comprehensive Evaluations

By Kee Consulting
  • Consent to Mental Health Treatment
  • Intake Form
  • Notice of Privacy Practice
  • Comprehensive Initial Psychiatric Evaluation
  • Comprehensive Follow-up Psychiatric Evalutation
  • Suicide Safety Plan
  • Surveys (i.e., AIMS, LOCUS, CASII, GAD, PHQ-9, PCL-5, MDQ
  • Provider 20 Primary Care Comprehensive Assessment
  • Privacy Practice
  • Release of Information
  • Lab Prescription
  • EKG Prescription
  • Walk-In Intake Form
  • Emotional Support Animal Letter
  • Client Discharge Letter
  • Credit Card Authorization
  • Benzodiazepine & Stimulant Agreement
  • HIPAA Notice of Privacy Practice
  • Consent for Treatment: Face-to-Face & Telehealth
  • Parental Consent for Child's Treatment: Face-to-Face & Telehealth
  • Informed Consent for Psychotropic Medications
  • Consent for Telehealth Consultation w/Consultation Costs
  • Telepsychiatry & Concierge Health Informed Consent for Psychotropic Medications
  • Practice Policies (Lateness, C.C. Authorization, Billing, Social Media, Termination, etc.)

You will get the following files:

  • DOC (128KB)
  • DOCX (31KB)
  • DOCX (88KB)
  • DOCX (52KB)
  • DOCX (44KB)
  • DOCX (31KB)
  • DOCX (155KB)
  • DOCX (15KB)
  • DOCX (35KB)
  • DOCX (33KB)
  • DOCX (47KB)
  • DOCX (95KB)
  • PDF (1MB)
  • DOCX (14KB)
  • PDF (73KB)
  • DOCX (61KB)
  • PDF (193KB)
  • DOCX (32KB)
  • PDF (149KB)
  • XLSX (246KB)
  • DOCX (478KB)
  • XLS (2MB)
  • XLSX (714KB)
  • DOC (58KB)
  • PDF (381KB)
  • PDF (3MB)
  • PDF (3MB)
  • PDF (3MB)
  • PDF (3MB)
  • PDF (3MB)
  • PDF (2MB)
  • PDF (2MB)
  • PDF (2MB)
  • PDF (2MB)
  • PDF (116KB)
  • PDF (2MB)
  • PDF (5MB)
  • PDF (3MB)
  • PDF (2MB)
  • PDF (2MB)
  • DOCX (51KB)
  • DOCX (23KB)

$ 1099.00

$ 1099.00

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