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Patient Forms & Documents

Welcome to our Patient Resource Center. This page is designed for both new and existing patients to conveniently access essential intake forms and clinic documents. To streamline your visit, please download and complete the necessary paperwork prior to your appointment. We value your privacy; please be assured that all patient information is protected and handled with the highest standards of security and clinical integrity.

Clinic Forms Directory

New Patient

New Patient Intake

Essential clinical information and medical history for your initial evaluation.

Remote Care

Telehealth Consent

Agreement for receiving clinical services through secure digital video platforms.

Clinical Agreement

Consent to Treat

Official authorization for Alliance BHI to provide professional healthcare services.

Billing Policy

Financial Responsibility

Outline of payment expectations, insurance billing, and clinic financial terms.

Information Sharing

Release of Information

Permission to share medical records with primary care or external providers.

How to Submit Your Forms

  1. Download & Complete: Access the necessary documents from our directory and fill them out at your convenience.
  2. Choose Your Method: You can return completed forms by uploading to our secure portal, faxing to 623-401-2889, or bringing them to your visit.

Frequently Asked Questions

How long does it take to complete the forms?

Most forms take approximately 15-20 minutes to complete. We recommend finishing them prior to your visit to ensure a smooth check-in process.

Can I complete the forms on-site at the clinic?

Yes, forms can be completed on-site. However, we ask that you arrive at least 30 minutes before your scheduled appointment time to allow for data entry and processing.

What should I do if I make a mistake on a form?

If you make a mistake, simply draw a single line through the incorrect information and place your initials next to the correction.

Are my documents handled securely?

Absolutely. Your information is protected by industry-standard encryption and processed in strict compliance with HIPAA privacy regulations.

Need Help with Paperwork?

Our front desk is here to guide you. We understand that medical documentation can be complex, and we are committed to providing a clear, reassuring path to completing your paperwork securely.

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