Client Intake Forms | Behavioral Health Care in Baltimore, MD

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Please review, complete, sign or initial all 10 forms

1 – General Information
2 – General Medical History
3 – Social History
4 – Consent for New Beginnings Behavioral Health, Corp.
5 – New Beginnings Behavioral Health, Corp. TeleHealth Treatment Consent
6 – Authorization to Obtain and/or Release Confidential Information
7 – HIPAA Privacy Information Limits of Confidentiality Advanced Directive Acknowledgement
8 – Maryland Notice Form – Notice of Policies and Practices to Protect the Privacy of Your Health Information
9 – Clients Rights Form
10 – Grievance Policy

New Beginnings Behavioral Health corporation