• 570-606-1888
  • Wilkes-Barre, PA | Drums, PA

New Patient Documents

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New Patient Documents

New patient Documents

Please find, download and complete the appropriate documents as requested prior to your initial visit with Red Bird Mental Health. If you have any questions or concerns, please call us at 570-606-1888

Download
General Informed Consent HIPAA Forms, Adolescent and Adult (over 14 years old)

This is a general consent form new patients. HIPAA is a federally mandated document required for the security and privacy of patient information.

Download
General Informed Consent HIPAA Forms, Child (under 14)
Download
Informed Consent for Telepsychology
Download
Release of Information (Adult General)
Download
Release of Information (Child General)
Download
Surprise Billing Protection Form

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