Patient Forms

IBH Clinic Fees

Patient Handbook Receipt

Advanced Directives

IBH New Patient Form

PHQ 9

IBH Consent for Services

IBH Insurance Authorization

Patient Rights

GAD 7

EMAIL COMPLETED DOCUMENTS

Patient Forms Completion Instructions
Please complete, sign, and return the required forms listed above.
You may need to download the forms in order to complete and sign them. Once completed, please return the signed forms by clicking the email link above and attaching the completed documents.
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If you are unable to complete the forms electronically, you may print them, complete and sign them by hand, scan or take a clear photo of each completed page, and return them using the email link above.