Patient Information

Patient Information

In order to make your first visit with CBHC productive and efficient, you will need the following:

  • For Adults 18 years of age or older we will need a picture ID, proof of household income and any insurance information if applicable.
  • For Children under the age of 18 or adult with a legal guardian, we will need parent or legal representatives picture ID, child’s birth certificate, proof of household income , insurance information and custodial/legal documentation if applicable.
  • For Adults coming in for court ordered evaluations please bring court ordered paperwork, picture ID, proof of income and insurance information if applicable.
  • For all clients coming in for first time medical appointments please bring any current prescriptions in the bottle or list of current medications from the pharmacy.  
  • Proof of Income
  • Demographic Form Page 1, Page 2, Page 3

 

Don’t have Medicaid coverage?

Call 1-866-76-ACCESS or apply online and then click “Apply for Benefits”

Guide to Services: Provides information about office hours, program expectations and your rights while receiving services with us.

Translation/Interpretation Services Plan

How to Obtain Your Medical Records