Behavioral Health Associates P.C.

Behavioral Health Associates P.C.Behavioral Health Associates P.C.Behavioral Health Associates P.C.
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    • Home
    • 2023 Fee Changes
    • Clinicians
    • Policies
    • Patient Forms
    • Contact Us
    • Patient Portal

Behavioral Health Associates P.C.

Behavioral Health Associates P.C.Behavioral Health Associates P.C.Behavioral Health Associates P.C.
  • Home
  • 2023 Fee Changes
  • Clinicians
  • Policies
  • Patient Forms
  • Contact Us
  • Patient Portal

Patient Forms

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.  All links are at the bottom of this page.  If you cannot complete at home, please come by the office and we can give you a copy to complete in person.   New Patients complete "New Patient Paperwork Packet" and "Telehealth Consent."


Second step will be completing medical history questionnaires.   We will send these to your HIPAA secure patient portal to complete.  Some of the topics listed here can be considered "triggers" for certain populations.  If at any point you feel uncomfortable answering a certain question, please make a note that you wish to discuss in person and move on to the next question.  


Once these forms are sent, please call our office at 423-899-0024 x28 to get scheduled.  


Addition forms you will need to review and keep for your records are "Privacy Practices" and "Patient Rights and Responsibilities."




Existing Patients

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. Complete "Release of Information to exchange medical records."   




Referring Providers 

Please complete "Referral Form" and fax to 423-899-5688, Attention: New Patient Coordinator.  

Patient Portal

BHA now offers a secure patient portal so you may contact your provider directly.  If you have registered, please log in below.

Patient Portal

Downloads

New Patient Paperwork Packet (pdf)Download
Telehealth Consent (pdf)Download
PHQ9 and GAD7 (pdf)Download
Patient History Form (pdf)Download
Privacy Practices (pdf)Download
Patient Rights and Responsibilities PDF (pdf)Download
Release of Information to exchange medical records (pdf)Download
Referral Form (pdf)Download
Doxy.me Instructions for Telehealth (pdf)Download
MoodCheck.2021 (doc)Download

Copyright © 2023 Behavioral Health Associates P.C. - All Rights Reserved.

  • Home
  • 2023 Fee Changes
  • Clinicians
  • Policies
  • Patient Forms
  • Contact Us
  • Patient Portal