Coastal Mental Health Center
Coastal Mental Health Center
Coastal Mental Health Center
Coastal Mental Health Center
Home Page
COVID-19
Documentation
Staff
Services
Contact Us
Additional Resources
More
Home Page
COVID-19
Documentation
Staff
Services
Contact Us
Additional Resources
Coastal Mental Health Center
Coastal Mental Health Center
Coastal Mental Health Center
Coastal 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
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
Consent for Telemedicine
(pdf)
Download
Mental Health Treatment Authorization Form
(pdf)
Download
Electronic Authorization to Release
(pdf)
Download
General Affidavit
(pdf)
Download
Guarantor
(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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