Forms & Policies

General Forms

GOSH Billing Authorization Disclosure

GOSH Residency Verification Form

Health History Questionnaire

OBHIS Consent To Release

Orientation Process Checklist

Responsible Party Financial Info – Third Party Billing 2019

Treatment Consent

Release of Information

Client Handbook

Client Handbook (Spanish)

ASL Client Handbook Description

General Information

Acceptable Forms of ID

Benefit Plan Brochure – Addiction Only

Benefit Plan Brochure – Comprehensive

Benefit Plan Brochure – MH Only

Info Letter to Family and Friends in Handbook

Notice of Privacy Practice

Adults

MACSIS Disclosure Out of County

Kids

Adolescent Intake Instructions

Guardianship Agreement

AOD

Consent for Release AOD Richland County 2014

Consent for Release of AOD Out of County-If Applicable

Vocational

RFP 2023 Summer Youth

WIOA Referral Form

Policies