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Announcements
 Spectrum Behavioral Health proudly announces the newest member of our team; Akira Otani, Ed.D., A.B.P.H. Dr. Otani joins Spectrum, having recently been with the Counseling Center at the University of Maryland, College Park. Having spent his childhood in Osaka, Japan, he is fluent in both the English and Japanese languages. He is a diplomate of the American Board of Psychological Hypnosis. We are very proud to introduce him as a qualified member to our outstanding team and excited to welcome him in both offices. He is available to accept new patients immediately.
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 image below the forms list to install it. If you have any problems with downloading the forms,please contact the webmaster for assistance.

  
Out-Of-Network Treatment Checklist Follow this checklist of action items to determine your Out-Of-Network insurance coverage.
Patient Registration - Annapolis Print, fill out, and bring with you on your first visit to our Annapolis office.
Patient Registration - Arnold Print, fill out, and bring with you on your first visit to our Arnold office.
Notification of Privacy Policies Print, fill out and bring with you on your first visit.
Consent to Treatment Print, fill out and bring with you on your first visit.
Payment Policy Print, fill out and bring with you on your first visit.
Release Authorization Print, fill out and bring with you on your first visit.
Release for Medical Information and Payments Print, fill out and bring with you on your first visit.

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