New and Current Client Forms

Here you can find all of the forms for our specific locations, services, and in various languages. If you have any questions, please reach out to our customer experience team.

Richfield Outpatient Services Forms

Youable Emotional Health

Adult Registration & Consents for Therapy (New Clients)
Registro de adultos y consentimientos para terapia (nuevos clientes)

English Español

Annual Adult Consents for Therapy (Current Clients)
Consentimiento anual para adultos para terapia (clientes actuales)

Child Registration & Consents for Therapy (New Clients)
Registro de menores y consentimientos para terapia (nuevos clientes)

Annual Child Consents for Therapy (Current Clients)
Consentimientos anuales para terapia infantil (clientes actuales)

Psychological Testing Informed Consent Form
Formulario de consentimiento informado para pruebas psicológicas

Anxiety and Depression Assessments

Hopkins Day Treatment Forms

Adolescent Day Treatment

Day Treatment Application
Aplicación del tratamiento de día

English Español

Day Treatment Consent Forms
Formularios de consentimiento para tratamiento dia

Documents for Community Based Therapy

Case Management

Child Community Based Therapy Consents

English

Documents for All Clients

Youable Emotional Health

Client Grievance Form
Formulario de quejas del cliente

English Español

Records Request Forms
Formulario de solicitud de registros

Release of Information
Divulgación de información

Texting/Emailing Your Provider Agreement
Acuerdo con su proveedor (mensaje de texto/correo electrónico)

Texting/Emailing Your Provider Agreement Termination
Notificación de rescisión del contrato con su proveedor por mensaje de texto o correo electrónico