Forms
Editable PDF Patient Forms
NOTE: In order to fill out the form online you must save the form to your computer. After completion, please email to intake@behavioralwellnessgroup.com or fax to 440-565-2349.
Or, you may also print the forms and bring them to your first appointment, if you are seeing your provider in person. Anyone scheduled for the New Year, 2025, please be sure you are selecting the correct packet.
New Mental Health Patient Forms:
New Mental Health Patient Packet-2025
HIPPA Notice of Privacy Practices
New Medication Management Patient Forms:
New Medication Management Patient Packet-2025
HIPPA Notice of Privacy Practices
Insurance Company Questions and Information
Questions for Psychological Testing
Other Patient Forms and Information
Client Rights and Responsibilities