Behavioral Medicine-CH: For New Patients
If your child is a new patient at Hurley Mental Health Associates:
- Please print out the forms listed below, fill them out and bring them to your child's first appointment.
- You and your child should be at the clinic 40 minutes before your child's appointment to complete paperwork.
- Patients who complete these forms ahead of time may arrive 15 minutes early.
Forms Required for New Therapy Patients
Patients 17 and younger
Forms Required for Bariatric Assessments
For All Patients
Authorization for Release of Information
Hurley Mental Health Associates
Hurley West Campus Building
1125 South Linden Road, Suite 210
Flint, MI 48532