Patient Informed Consent

To provide Access BHC with your required documentation for services you can call and request the documents be mailed by US postal service, sent via email or you can fill out and sign the consent form below.

Call Us: (800) 988-3966

E-mail Us: referrals@accessmybhc.com

Fill out the consent form below: 

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At Access BHC we are dedicated to providing you with compassionate and effective behavioral health services while respecting patient rights. Before we embark on your journey toward improved mental health, it's essential for you to understand the process and these rights as our valued client. Informed Consent: By clicking "Submit" below, you affirm that you have received and understood all the necessary forms, including our informed consent for behavioral health services, telehealth consent form, if applicable, and HIPAA privacy documents, etc. This electronic consent serves as your agreement to engage in our behavioral health services and your understanding of our privacy practices. We appreciate your trust in Access BHC and are committed to helping you achieve better mental health and well-being. If you have any questions or need further clarification, please do not hesitate to contact our team. Your mental health matters to us, and we look forward to working with you. I hereby agree that this data will be stored and processed for the purpose of establishing care. I am aware that I can revoke my consent at any time.*

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