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Behavioral Health Associates: Chattanooga, TN: Helping individuals, couples, and families to achieve their behavioral health goals. BHA is committed to the highest quality of Psychiatric & Mental Health Care.
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Patient Forms


All New Patients

Thank you for choosing Behavioral Health Associates (BHA) as your provider for your mental health care. To help save time during your initial visit, we have made our HIPPA Privacy Policy, Office & Financial Policies, & New Patient Forms available online. Once these files have been downloaded, you can fill them out prior to your visit to BHA.

In order to maximize our ability to accommodate your needs, we ask that you download BOTH sets of documents below:

Please KEEP THIS PACKET FOR YOUR RECORDS so you will have it for future reference.

 Download HIPPA Privacy/Office & Financial Policies Now»»
(Total: 6 pages)

Please RETURN THIS PACKET TO STAFF after you have read and signed all appropriate paperwork.

 Download New Patient Forms Now»»
(Total: 7 pages)

Dr. Solomon & Jeff Guajardo's Patients

Please COMPLETE THIS FORM AND BRING IT TO YOUR DOCTOR prior to your visit.

 Download Patients of Dr. Solomon & Jeff Guajardo Form»»
(Total: 2 pages)


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Behavioral Health Associates: Quality Psychiatric & Mental Health Care: Chattanooga, TN

Behavioral Health Associates
6216 Airpark Drive · Chattanooga, TN 37421
Ph: 423.899.0024 · Fax: 423.899.5688 · Contact Us
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