Patient Forms
BBAHC FORMS Begin by printing the PDF documents and complete the necessary information.
When faxing or mailing a form to request information, please be sure to include a copy of government photo ID.
Release of Behavioral Health Information
Release of Medical Information
- Authorization to Disclose Health Care Information (This form is to request that BBAHC send information YOU OR TO ANOTHER PROVIDER.) PDF
- Authorization for Disclosure of Health Care Information to BBAHC (This form is to request information FROM ANOTHER PROVIDER.) PDF
- Patient Registration Form PDF
- Consent for Temporary Guardianship of Minor
- Paternal Consent Form