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 initial paperwork available online. New Patient Forms must be completed before you are seen for your first visit. You may complete this at home and bring with you to your first visit, or come in 15 minutes early and we will provide you with a copy. The Privacy Practices packet is for you to keep. The Release of Information is only required if you need information released outside of this office.

Please bring this New Patient packet to your first visit after you have read and signed all appropriate paperwork.
Download New Patient Forms Now

Please keep this Privacy Practices packet for your records so you will have it for future reference. If there are any changes to this document, we will put a copy here and also in our office for your review. We will update this as required by state and/or federal law changes.
Download HIPAA Privacy Policies Now

If you want your clinician to be able to communicate with anyone other than yourself regarding your treatment, you must put this in writing. This includes family members, friends, other health care professionals, attorneys, etc. Please complete this form and specify what information may be released.
Download General HIPAA Authorization to Release Information

Download HIPAA Authorization to Release Information for Primary Care Physicians

 

 

Dr. Solomon’s Exisiting Patients

Please complete this form and bring it with you to your visit.

Download Patients of Dr. Solomon Form