Davis Behavioral Health Intake Forms

Before services begin at Davis Behavioral Health, intaker forms must be completed. These forms can be completed at the clinic, with the help of an intake worker, or you can complete forms electronically from the following list. Please complete the form and then print it to bring into the clinic.

• Adult Admission / Enrollment Application
• C&Y Admission / Enrollment Application
• Consumer Rights & Responsibilities Statement
• Income Affidavit
• Notice of Privacy Practices
• Utah Mental Health 2011 Admission Questionnaire

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