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A-1 Behavioral Health Services
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PATENT FORMS

A200 New Patient Registration Form (pdf)

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A130 TelepsychiatryContract_ InformedConsent (pdf)

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A120 Behavioral Health Privacy Notice (pdf)

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A111 Treatment Consent for Minor Child (pdf)

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A110 Treatment Consent for Adult (pdf)

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A1 COVID-19 Update (pdf)

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Policies and procedures

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A-1 Behavioral Health Services

Texas Main Office - 3740 North Josey Lane Suite #213, Carrollton, Texas 75007, United States. Tel - 972-656-8258. New Hampshire Office - 25 Nashua Rd Unit A-1, Londonderry, NH 03053, United States. Tel - 1-800-609-0323. Oregon Office – 609 E main Street. Cottage Grove. OR 97424. Tel – 541-945-3305

Fax (800) 609-0323

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