en English
en Englishes Spanish
Close Menu
Patient Portal
Services
Evidence-Based Practices Services Provided
Resources
Mental Health Self Help Medicaid Member Handbook Davis County Behavioral Health Directory Policies Forms Insurances Accepted
About
About Us FAQs DBH Providers Facilities Employment Blog Contact Us
Register for a Class  
24 Hour Crisis Hotline
 (801) 773-7060
Self-Help
 Assessment
Make a
 Payment
Patient
 Portal
Services
Evidence-Based Practices Services Provided
Resources
Mental Health Self Help Medicaid Member Handbook Davis County Behavioral Health Directory Policies Forms Insurances Accepted
About
About Us FAQs DBH Providers Facilities
Employment Blog Contact Us
Register for a Class
Services
Evidence-Based Practices Services Provided
Resources
Mental Health Self Help Medicaid Member Handbook Davis County Behavioral Health Directory Policies Forms Insurances Accepted
About
About Us FAQs DBH Providers Facilities
Employment Blog Contact Us
Register for a Class
24 Hour Crisis Hotline
 (801) 773-7060

Forms

All forms can be printed if a hardcopy is needed. Hardcopies can also be requested by calling 801-773-7060.

Form 1: Authorization to Use and Disclose Health Information to Davis Behavioral Health

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

Form 3: Client Request for His/Her Own Records

Form 4: Consumer Grievance

Form 5: Suboxone Prescription Log

Form 6: New Financial Form

© Copyright Davis Behavioral Health All rights reserved.

en English
en Englishes Spanish