(Our registration is now online through EHR Your Way! Please see the required items below and select ‘Agree’ to move forward to the registration process.
You will be prompted to create a new client profile and a follow up email will be sent with a username/password with instructions on how to proceed registration.)

***This must be done through Google Chrome.***

Please see below for items and documents required prior to admission
  • List of current meds with Doctor’s signature (or E sign)
  • Medication options
  • Scripts sent to our pharmacy 24 hours prior to intake (Meds must be delivered prior to admission)
  • Member to arrive with a minimum of 14 day supply of medicalormental health medication
  • Recent TB Test
  • Facesheet
  • History and Physical (H&P)
  • SS#
  • The Providers signature is required on Admission Orders
  • Name of Psych Provider and date for 7 day BHMP appointment
  • Recent TB Test
  • Insurance Card
  • Diagnosis/Codes
  • Guardianship point of contact (If applicable)
  • COT (If Applicable)
  • Does the Member have a Payee (provide contact info)
  • Will the member arrive with at least 7 days of clothing and personal care items
    • These items are required
  • Outpatient Case Manager to provide Current Treatment Plan Annual Assessment
  • Signatures on all admissions documents
  • Identification (if they have one)
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