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Intake Packet

Client Demographics

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Client Financial Responsibility & Authorization Form

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SUD and Mental Health Treatment Consent

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Summary of Federal Confidentiality Laws & Regulations

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Instructions for Completing ODM 10221 / Standard Authorization Form

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Standard Authorization Form (Form A & B)

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Telehealth Consent

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Consent to Use Google Meet

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Clients Right Policy and Grievance Procedure

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Start your journey to transformative health today. Simply complete the form, and allow Access Behavioral Health to lead you toward holistic well-being.

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