Intake Forms and Policies

Warning: Declaration of wpex_menu_walker::start_el(&$output, $item, $depth, $args) should be compatible with Walker_Nav_Menu::start_el(&$output, $data_object, $depth = 0, $args = NULL, $current_object_id = 0) in /home/customer/www/mhshelps.com/public_html/wp-content/themes/Beta/theme_functions/menu_walker.php on line 6
Intake Forms and Policies | Mental Health Solutions – Chicagoland Mental Health Services

Avoid extra fees Signature (109.8 KiB)
Client-informed-consent-form- Post COVID-19 (130.5 KiB)
Electronic and Telecommunication Authorization (116.3 KiB)
HIPAA (399.9 KiB)
Informed Consent Checklist for Telepsychology Services (3.14.20) (77.1 KiB)
MHS CC Authorization Letter (55.8 KiB)
Patient and Provider Rights and Obligations and Fee Schedule (121.5 KiB)
Personal Information Patient Intake Form (71.5 KiB)