Behavioral Health Forms
Outpatient Treatment Request - Initial .doc | .pdf
Outpatient Treatment Request - Concurrent .doc | .pdf
Psychological Testing Request .doc | .pdf
Neuropsychological Testing Request .doc | .pdf
Outpatient AODA Services - Initial .doc | .pdf
Outpatient AODA Services - Concurrent .doc | .pdf
Residential AODA Services - Initial .doc | .pdf
Obtain a Prior Authorization
Please contact our Care Management Department or our Behavioral Health Services department to request a prior authorization. Click here for a list of contact phone numbers.