Family Behavioral Health Services, LLC

440-460-0140

  • Home
  • Meet our staff
  • Services
  • Medication refills
  • New Patients
  • FORMS
  • Contact us
  • Insurance
  • Employment
  • Newsletters
  • More
    • Home
    • Meet our staff
    • Services
    • Medication refills
    • New Patients
    • FORMS
    • Contact us
    • Insurance
    • Employment
    • Newsletters

440-460-0140

Family Behavioral Health Services, LLC
  • Home
  • Meet our staff
  • Services
  • Medication refills
  • New Patients
  • FORMS
  • Contact us
  • Insurance
  • Employment
  • Newsletters

FORMS

New patients will receive a electronic paperwork packet after the schedule their initial appointment with our intake department. 

AUTHORIZATION TO RELEASE20 (pdf)Download
2013 Adult Form (pdf)Download
2013 Child History Form (pdf)Download
Symptom Questionnaire (pdf)Download
Mood Disorder Questionnaire (pdf)Download
Minor consent pdf (pdf)Download

Copyright © 2025 family behavioral health services - All Rights Reserved.


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