Printable Forms

Clients and prospective clients of Behavioral Healthcare Consultants have the option of printing and complete our forms to expedite their registration, treatment and release of information. Please contact our receptionist at (717) 581-5255 if you have any questions about the use of these forms or how to complete them. Bring your insurance card with you to the office. A copy will be made and retained with your records.

Available forms include:

Client Registration     (Click here for printable pdf)

Child/Adolescent Registration     (Click here for printable pdf)

Consent to Treat    (Click here for printable pdf)

Consent to Release Information    (Click here for printable pdf)

Child/Adolescent Information Form    (Click here for printable pdf)

Office Policy Statement    (Click here for printable pdf)