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Copyright © AZ Behavioral Health Specialists, LLC, 2014-25. All rights reserved.

FORMS
New patient forms can be completed online here.   Following registration and
appointment scheduling, clients are required to complete all consent forms and
questionnaires. These can be accessed by navigating to the "Documents" section.
Need Paper Forms?
The PDF contains 5 forms. In order for us to prepare for your first visit, all five patient
forms must be completed, signed, and submitted to our office at least 24 hours
prior to your appointment. Please send forms via email-azbehavioral@gmail.com.
If you are unable to download and print the forms, please notify our office. You will
need to arrive 15 minutes early for your appointment, and we’ll have them ready for
you to complete.

New Patient Forms-
click here
Would you like us to request records on your behalf or send your records to another
provider?

A release of information form is necessary for exchanging information with other
professionals. Once you have downloaded, completed, and signed the document,
please follow one of the steps below:
 For information being sent FROM our office to another provider: Please
return for to us by email: azbehavioral@gmail.com, fax: 602-997-6642 or by
uploading it to the patient portal.
 For information being sent to ABHS from another provider: Please use fax
number 602-997-6642.
Release Of Information Form- Click here
Part of a good health care practice is to establish and communicate our mission,
values, and policies to our patients. Consistent and transparent communication on
these principles is a key driver of high-quality patient care. We have added a copy of
our Office Privacy form for you to download and print.
Office Privacy Form-click here
If you have any questions or concerns about any of the forms, please contact our
office at 602-997-6635 or send us an email
azbehavioral@gmail.com. Our staff will
be more than happy to help answer any questions you may have.