Behavioral Health Services of  New Jersey

 

Phone:  908-463-9665 

                908-208-8993

Email:

BHSofNJ@gmail.com

 

Where to Find Us

 

71 West Main Street

Suite 104

Freehold, New Jersey  07728

    Office Hours

Hours are worked around our Clients needs.

   Patient Forms

New patient? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide several patient forms as PDF downloads on our site.

Patient Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Please print and fill out the documents before you come in to make your visit easier.  Please bring your insurance care and a photo ID. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Adult New Patient Packet

application for counseling.docx
Microsoft Word document [15.2 KB]
consent for treatment.docx
Microsoft Word document [16.0 KB]
HIPPA_Consent.docx
Microsoft Word document [19.2 KB]
information form.docx
Microsoft Word document [16.4 KB]
insurance payment authorization.docx
Microsoft Word document [11.8 KB]

Child New Patient Packet

application for counseling.docx
Microsoft Word document [15.2 KB]
HIPPA_Consent.docx
Microsoft Word document [19.2 KB]
information form.docx
Microsoft Word document [16.4 KB]
insurance payment authorization.docx
Microsoft Word document [11.8 KB]
Treatment agreement for MINOR.docx
Microsoft Word document [23.1 KB]
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