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All Client Forms

Behavioral Health Form For Psychological/Neuropsychological Testing

Complete and return when instructed to for psychological testing.

Informed Consent for Treatment

Electronically sign this document when instructed to.

Intake Forms for New Clients

Electronically sign these documents when starting services at Catalpa Health.

Medical Records Request (ROI) Form

Authorize the disclosure of health information to equest copies of medical records or permit another person to participate in your child’s care.

Mental Health Treatment Plan

Electronically sign this document when instructed to by your provider.

Notice of HIPAA Privacy Policy

This notice describes how medical information about you/your child may be used and disclosed and how you can get access to this information.

Notice of HIPAA Privacy Policy Acknowledgement

By signing this form, you acknowledge that we (Catalpa Health, Inc.) have given you a copy of our Notice of Privacy Practices, which explains how your health information will be handled by us in various situations.

Update Insurance

Complete this electronic form when there has been an insurance change for a client.

18 Year + Paperwork

Current clients who turn 18 need to electronically sign these documents. New clients who are 18 or older will need to electronically sign these, as well.