Forms

Please download and print these forms for our first appointment.  If you have any questions please don’t hesitate to ask. If you have been referred by your general practice doctor or a primary care physician please fill out a release of information so that I may contact them to maintain continuity of care.

OBH Counselor Disclosure Form

OBH Notice of Privacy Practices

OBH Financial Agreement

OBH release of information

OBH Client Information

If you have insurance and you would like to receive behavioral health services without using your insurance provider and paying the full service fee please download and fill out the following form prior to our first session.

OBH Insurance Opt Out