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.