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Overview Case Management Clubhouse Program Crisis Support Medication Assisted Therapy Medication Management Mental Health Outpatient Mental Health Residential Prevention Receiving Center Substance Use Intense Outpatient Substance Use Outpatient
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Davis County Behavioral Health Directory Forms Insurances Accepted Medicaid Member Handbook Mental Health Self Help Policies Informational Resources Substance Use Screening Substance Use Screening - Spanish
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Programs & Offerings
Services
Overview Case Management Clubhouse Program Crisis Support Medication Assisted Therapy Medication Management Mental Health Outpatient Mental Health Residential Prevention Receiving Center Substance Use Intense Outpatient Substance Use Outpatient
Evidence Based Practices Classes & Workshops Mindfulness Communities That Care
Resources
Davis County Behavioral Health Directory Forms Insurances Accepted Medicaid Member Handbook Mental Health Self Help Policies Informational Resources Substance Use Screening Substance Use Screening - Spanish
About
About Us FAQs Providers Facilities Helpful Resources
Employment Blog Contact Us
Patient Center
Patient Portal Self-Help Assessment Register for a Class Make a Payment
Employee Login
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Forms

Any information provided electronically can be made available in printed form within five business days. Hardcopies can also be requested at no charge by calling 801-773-7060. Please fax all completed and signed records, requests and authorization forms to 801-336-1787.

Form 1: Advance Health Care Directive Form

Form 2: Authorization to Use and Disclose Health Information to Davis Behavioral Health

Form 3: Authorization to Use and Disclose Health Information by Davis Behavioral Health

Form 4: Client Request for His/Her Own Records

Form 5: Consumer Grievance

Form 6: Suboxone Prescription Log

Form 7: New Financial Form

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Davis Behavioral Health
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