Behavioral Health Clinic: Client Forms

​​​​​​​​​​Below are the forms that you will need for your appointment at the ​Boys Town South Florida Behavioral Health Clinic. The first two groups of ​forms are ​mandatory. If you have any ​questions, please contact 561-612-6056.

New Client F​​orms to Complete and Bring With You (Mandatory)

• Agreeme​nt and Consent for Services
• Client ​Information Sheet
• Email Information Form
• Authorization for Release of Information to Primary Care Provider
  Developmental History Form
• Pretreatment Questionnaire
• 
  Download All

New Client Informat​​ion and Notices (Mandatory)

• Client Rights and Responsibilities
• Notice of Privacy Practices
• Office Policy
• Payment Policy
• 
  Download All

 Additional Co​nsent and Release Forms (When Needed)

• ​Authorization to Release of Information to Other
• Consent for Another Adult to Participate
• 
  Download All