Coastal Mental Health Center

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    • Home Page
    • COVID-19
    • Documentation
    • Staff
    • Services
    • Contact Us
    • Additional Resources

Coastal Mental Health Center

Coastal Mental Health CenterCoastal Mental Health CenterCoastal Mental Health Center
  • Home Page
  • COVID-19
  • Documentation
  • Staff
  • Services
  • Contact Us
  • Additional Resources

FORMS

Vanderbilt Adult (pdf)Download
Vanderbilt English Parent (pdf)Download
Vanderbilt Spanish Parent (pdf)Download
Vanderbilt English Teacher (pdf)Download

Documents English

Electronic Authorization to Release (pdf)Download
Patient Rules and Regulations (pdf)Download
Authorization for Treatment (pdf)Download
Bill of Rights (pdf)Download
HIPAA NOTICE OF PRIVACY RIGHTS (pdf)Download
PCP Consent (pdf)Download
Guarantor (pdf)Download
General Affidavit (pdf)Download
Mental Health Treatment Authorization Form (pdf)Download

Documents Spanish

Patient Rules and Regulations Spanish (pdf)Download
Authorization for Treatment in Spanish (pdf)Download
Bill of Rights Spanish (pdf)Download
Mental Health Treatment Authorization Form - Spanish (pdf)Download

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