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Copyright © AZ Behavioral Health Specialists, LLC, 2014-16. All rights reserved.

FORMS 

New Patient Sign Up: TherapyAppt account and ABHS Forms
TherapyAppt.com account. New patient forms can be completed online. If you have called and scheduled an appointment click here; Begin entering Dr’s last name and they’ll appear in drop down box. Select them. On next screen, DO NOT SELECT REGISTER AS NEW PATIENT.  We have already registered you. Log In under ‘Have a Password? Log In:’ option. Your Username is your first name in ALL CAPITAL LETTERS. Your password is your last name in ALL CAPITAL LETTERS. Once you’ve logged in, update your contact and insurance information, and complete the biographical information form.

ABHS Forms.  Click here!

The pdf contains three forms. All three are required at the first appointment: 1) Privacy Notice, 2) Conditions of evaluation and treatment, and 3) Billing and payment information form. Each form must be filled out and signed before seeing your provider.

Release of Information Forms
Do you need to have records sent to your ABHS provider? Do you need to have your ABHS records sent to another provider? 

Release of Information form. Click here!

The pdf contains the form needed to exchange information with other professionals. Download, complete and sign it. If the information needs to be sent from our office, fax the form to 602-997-6642. If information needs to be sent from another provider to ABHS send the form to that provider.  Questions? Call the office at 602-997-6635. The staff thanks you for using this process!