KBH University

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    Intake Paperwork

    Use this checklist as a guide to keep track of the below paperwork.

     

    Opening Packet Checklist

     

     

     

    School-Based Program Orientation

    HIPAA Acknowledgement
    Receipt of Orientation Manual/Consent to Treat

    Notice of Privacy Practices
    Orientation Guidelines

    AC-OK Adolescent Screen
    Telehealth Informed Consent

    2023 KBH Fee Schedule
    Yearly Notification Of Rights Of Recipients Of Mental Health Services

    Rights of Recipients of Mental Health Services Who Are Children in Need of Treatment

     

     

     

    Releases

    Mainecare

    Crisis and Counseling
    Private Insurance

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    Click to view the document in PDF form - print from there if needed 😊

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

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