Spectrum Behavioral Health Forms

Our offices usually remain open during periods of inclement weather; however, individual clinicians may elect to cancel their scheduled appointments. If you have an appointment during a period of inclement weather, please check your clinician's voicemail greeting for his or her availability. You may also ring through to our staff, but please be aware that we may be experiencing high call volumes during weather emergencies. If you need to cancel your appointment, please let us know as soon as possible so that we can plan accordingly. Thank you!

Forms Download Center

Policy, Registration, and Release Forms

For your convenience we have provided the following forms for you to download. Some require Adobe Acrobat Reader software to read them, which is usually included in your browser.

If you do not have Adobe Acrobat Reader software,please click on the link below to install it.

Download Adobe Reader

Follow this checklist of action items to determine your Out-Of-Network insurance coverage: Out-Of-Network Treatment Checklist

Please print the following forms, fill them out, and bring them with you on your first visit to one of our offices:

Patient Registration

Notification of Privacy Policies

Consent to Treatment

Financial Agreement

Waiver Of Benefits

Authorization for Assignment of Benefits

Medical Records Release/Transfer