If you’re a new patient at Hurley Mental Health Associates:

• Please print out the forms listed below, fill them out and bring them to your first appointment.
• You should be at the clinic 40 minutes before your appointment to complete paperwork.
• Patients who complete these forms ahead of time may arrive 15 minutes early.

Forms Required for New Therapy Patients
Choose either:
Patients 18 and older
Patients 17 and younger

Forms Required for Bariatric Assessments
Bariatric patients

Form for Release of Information
Authorization for Release of Information

Contact Us:

Hurley Mental Health Associates
Hurley West Campus Building
1085 South Linden Road, Suite 150
Flint, MI 48532
(810) 262-2100
mentalhealthinfo@hurleymc.com

Clinic hours:
Mon-Thurs: 8am-9pm
Fri: 8am-5pm
Sat: 8am-4pm