Patient Forms | Free To Be Mental Health Services, LLC
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FORMS

New patient paperwork will be provided through the portal once the appointment has been requested and approved using the above "appointment scheduling" button.  Please make sure you have read the pricing page for the fees for each visit so you are aware as you book your appointment.

The forms on this page below are not new patient forms but if needed can be downloaded, printed, filled out, and given to the appropriate entities; a copy of the Privacy Practices and HIPAA Policies are included as well for your record-keeping.

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Primary Care Communication Consent Form

Outside Provider Referral Form for Services

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Calm Sea

Release of Information Form

HIPPA AND PRIVACY PRACTICES

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CareTeam Communication Form

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