Forms

Please download, fill, sign required forms and fax at 972-596-8157 or email us at hellopkumar@yahoo.com.

Authorization of release form (pdf)

Child_Adolescent Psychosocial Assessment (pdf)

Treatment Contract (pdf)

PBH Consent, Payment & Treatment (docx)

Fillable Authorisation of release form (pdf)

Fillable_PBH_Adult Psychosocial Assessment (pdf)

Fillable_PBH_Registration Form (pdf)

Adult Intake Package (pdf)

Child and Adolescent Intake Package (pdf)

Payment