Forms
New Patient Intake Form
New Patient Intake Form
New Patient Intake Form
Use the link below to complete a HIPAA-compliant form through our vendor, FormDr.
When finished, email to admin@rightsolutionsmentalhealth.com
aj@rightsolutionsmentalhealth.com
All information is secure and NEVER shared without permission.
https://app.formdr.com/practice/MTYxMDg=/form/1kl33oyiZd5XirLmTOmtUBa4-oFiZZXI
Practice Policies
New Patient Intake Form
New Patient Intake Form
Use the link below to complete the HIPAA-compliant form through our vendor, FormDr.
These are office policies.
https://app.formdr.com/practice/MTYxMDg=/form/1SGG-yI4JnqMWyh1rbXv4vvh1DAH_cYd
Release of Information
New Patient Intake Form
Release of Information
Use the link below to complete a HIPAA-compliant form through our vendor, FormDr.
Information is only shared with your authorization and can be withdrawn at any time.
https://app.formdr.com/practice/MTYxMDg=/form/RHdVrFmQ7OlsIdUxa66z4GFwBAi9sY4Z
Resources
NAMI
Suicide Prevention Lifeline
Suicide Prevention Lifeline
National Alliance on Mental Illness (NAMI) is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.
Phone: 1 (800) 950-NAMI (6264)
Suicide Prevention Lifeline
Suicide Prevention Lifeline
Suicide Prevention Lifeline
The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.
www.suicidepreventionlifeline.org
Phone: 1 (800) 273-8255 (TALK)
Deaf/HOH: 1 (800) 799-4889
LGBTQ Youth
Suicide Prevention Lifeline
LGBTQ Youth
The Trevor Project is the leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning youth.
Phone: 1 (866) 488-7386
Text START to 678678