Signing Forms

Dear client we are looking forward to meeting you to help you in the best way we can. Prior to your initial appointment with Nehemiah Behavioral Health, LLC. Please Download and read the documents below, that you have been instructed to complete prior to your initial appointment.

Please make a copy of the documents for your records  and bring the originals Signed Documents, to our office with you for your initial appointment. This will greatly safe time in meeting with you and addressing your needs.

If you should have any questions, please give us a call.

COUNSELING CLIENT FORMS:

NBH-Client Intake Information

NBH-LIMITS OF CONFIDENTIALITY

NBH Cancellation Policy

NBH-Disclosure Statement and informed consent for counseling

NBH-Consent to Release Information Form

MEDICAID WAIVER /HOME AND COMMUNITY BASED SERVICES

Behavioral Health Counseling Services -Brochure

Adult Day Program-Brochure

Host Homes-Brochure

Support Living Services- Brochure

Comprehensive DD Medicaid Waiver

Community Connections-Brochure

Non-Medical Transportation-Brochure

Children Extensive Services-Brochure

Early Intervention -Brochure

Respite Care-Brochure

Support Employment Brochure