Want to get your paperwork out of the way ahead of time? Download these documents, fill them out, print them and bring them to your intake.
Please keep in mind that you may not need to fill out all forms. Releases of information, for example, will only be filled out by parties that would like to share their records with other individuals or groups, including schools, primary care providers or lawyers.
PLEASE NOTE: If you haven't requested services yet, please fill out a Request for Service and bring it to our office or fax it (509-332-1608) before completing any other paperwork. If you already have an appointment in place, you may skip this form.
Please send Insurance card Information and photos to This email address: [email protected]
Please keep in mind that you may not need to fill out all forms. Releases of information, for example, will only be filled out by parties that would like to share their records with other individuals or groups, including schools, primary care providers or lawyers.
PLEASE NOTE: If you haven't requested services yet, please fill out a Request for Service and bring it to our office or fax it (509-332-1608) before completing any other paperwork. If you already have an appointment in place, you may skip this form.
Please send Insurance card Information and photos to This email address: [email protected]
Mental Health Forms
General
| Mental Health Request for Service |
| Release of Information |
| Permission (to be seen at school) |
| Mental Health Treatment Options |
Adult
| Mental Health Adult Intake Packet |
Youth (11 and Younger)
| Menta Health Youth Intake Packet 11 and Younger |
Youth (12 and Older)
| Mental Health Youth Intake Packet 12 and Older |
Chemical Dependency Forms
| Substance Use Disorder Adult Intake Packet |
Other Resources
| How to file a petition for Initial Involuntary Detention of a Family Member: |