Brightwater Health Forms

Attendance Policy Agreement

INFORMED CONSENT AND AUTHORIZATION

PARENTAL CONSENT & WAIVER FORM

Texting Authorization FORM

TELEHEALTH INFOMED CONSENT FORM

TELEHEALTH GROUP THERAPY AGREEMENT FORM

MENTAL HEALTH PROFESSIONALS UNDER SUPERVISION INFORMED CONSENT FORM

YELLOW LEAF REFERRAL & ADMISSION FORM

FIRST APPOINTMENT ADULT INTAKE FORM

FIRST APPOINTMENT AGES 6yrs - 17 yrs INTAKE FORM

FIRST APPOINTMENT UNDER 6YRS INTAKE FORM

AUTHORIZATION TO RELEASE PROTECTED HEALTH INFO

SLIDING FEE SCALE

CLIENT COMPLAINT FORM

INTERN INFORMED CONSENT FORM

INTERNSHIP INQUIRY FORM

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THE NORTHLAND’S ONLY CCBHC

Brightwater Health is the only Certified Community Behavioral Health Clinic (CCBHC) in the Northland. We are an integrated model of care improving service quality and accessibility. This model is the future of community behavioral health with a goal to improve both mental health and substance abuse treatment across the country.