Supplemental Documents

Outpatient Treatment Request (OTR)

• Outpatient Treatment Request Form (PDF)
• Intensive Outpatient Services Request Form - Mental Health & Chemical Dependency (PDF)

Psychological Testing Forms

• Outpatient Psychological Testing Authorization Request Form (PDF)
• Neuropsychological Testing Authorization Request Form (PDF)

Electroconvulsive Therapy Form

• Electroconvulsive Therapy Form (PDF)