Client Forms
Behavioral Health Intake Form and More
Forms
If you are going to attend your first appointment at BHSI, you can send forms to us by mail, fax, or email.
Clinic addresses and fax numbers are listed at the bottom of this page.
To email forms:
1) Complete the online form(s) and then save each one to your device.
2) Click here to start an email to forms@bhsimn.com, then attach your forms and send.
BHSI Forms
Select from the linked forms below
Adult Intake Forms
- Adult Re-Open Form (use this instead of the Adult Intake Form if you have been to BHSI in the past)
- Adult Intake form
- Telehealth Consent Form
- Insurance form
- Insurance Payment Order
- Treatment Agreement
Adolescent Intake Forms
- Adolescent Intake Form
- PHQ-9
- Telehealth Consent Form
- Insurance form
- Insurance Payment Order
- Treatment Agreement
