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    • Client/Paciente
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    • (Current Clinicians)
      • Psychiatric Med Referral
      • PBH Credentialing Guide
      • Supervisors
      • PBH Payments
      • Private vs County Pay
      • PDF Downloads
      • Immediate Booking Update
      • FAQ
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  • Home/Inicio
  • Client/Paciente
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  • (Current Clinicians)
    • Psychiatric Med Referral
    • PBH Credentialing Guide
    • Supervisors
    • PBH Payments
    • Private vs County Pay
    • PDF Downloads
    • Immediate Booking Update
    • FAQ

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PDFs available for clients

(Standard 2026) Notice of Privacy Practices (pdf)Download
(Standard) Blue Cross and Blue Shield (pdf)Download
(Standard) Consent for Telehealth Consultation (pdf)Download
(Standard) COVID-19 and Variants Liability Release Waiver (pdf)Download
(Standard) Dispute Charges (pdf)Download
(Standard) Form Completion Policy (pdf)Download
(Standard) Informed Consent for Treatment (pdf)Download
(Standard) Insurance Information (pdf)Download
(Standard) Minor Consent for Treatment (pdf)Download
(Standard) PBH Billing Service (pdf)Download
(Standard) Please upload your insurance card (pdf)Download
(Standard) Practice Policies (pdf)Download
(Standard) PSYCHOTHERAPY CLIENTS (pdf)Download
(Standard) Upload documents and insurance card (pdf)Download
PBH Member Guide (pdf)Download

Intake and Progress Report Templates

Individual Intake Questionnaire (pdf)Download
Initial Mental Health Evaluation (pdf)Download
Mental Health Progress Note (pdf)Download

Download Measurements

GAD-7 (pdf)Download
PHQ-15 (pdf)Download

Patient Resources & Forms

External Provider Handbook 2021 (pdf)Download
Set up Lucet Account (pdf)Download
CALM Handout (pdf)Download
Couples Therapy One Sheet (pdf)Download
External Provider Scheduling and Documentation Refresher (pdf)Download
Ginger Handout (pdf)Download
KP Branded Center for Healthy Living (pdf)Download
KP Branded Regional Mental Wellness (pdf)Download
KP Neuropsych External providers (pdf)Download
KP OSM information on FIC and TPI (pdf)Download
KPEP Couples counseling Referral_2021 (pdf)Download
KPEP Group Referral_2021 (pdf)Download
KPEP Medication Evaluation Referral_2021 (pdf)Download
Mystrength handout (pdf)Download

Spanish Forms - To be loaded

Files coming soon.
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