Patient Forms

Please consult your provider before filling out any of the forms below to ensure accurately get connected to your account. For any questions or concerns, call (406) 200-8471 and we'll be happy to assist.
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Intake Forms

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 Children (0-11yrs)

• Pre-Intake
• Health History
• PROMIS EC Global Health - Parent Report
• Individuals Involved in Care (IIC)
• Master Consent for Behavioral Health Services
• Privacy Practices

Adolescent (11-17yrs)

• Pre-Intake
• Health History
• PROMIS Global Health - Parent Proxy
• PROMIS Depressive Symptoms - Parent Proxy

• Individuals Involved in Care (IIC)
• Master Consent for Behavioral Health Services
• Privacy Practices

Adult (18+yrs)

• Pre-Intake
• Health History
• PROMIS Global Health
• PROMIS Emotional Distress-Depression

• Individuals Involved in Care (IIC)
• Master Consent for Behavioral Health Services
• Privacy Practices

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