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This clinician packet includes the forms required for a client record by the Arizona Board of Behavioral Health Examiners and comes with an overview form to help with customizing and using the included templates:

  • -Informed Consent
  • -Treatment Plan
  • -Progress Note
  • -Release of Information
  • -Critical Incident Report (optional, not required by BBHE)
  • -Collateral Participant Agreement (optional, not required by BBHE)

 

Clinician Packet 2024

$100.00Price
  • Packet available as a downloadable zip file.  Purchasers are given permission to edit and utilize forms for their professional use.  Each form can be customized.  While the forms are designed with the requirements of AZBBHE in mind, acceptance of all forms is at the discretion of the BBHE and each purchaser assumes liability for modifying as needed. 

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Hours of Operation:

By Appointment Only

*Please avoid disclosing any client protected health information when completing a consultation form or in an email.  If client protected health information needs to be disclosed during a consultation, a Business Associate Agreement will be completed to ensure confidentiality.

*Please note that I am not licensed to practice law in Arizona and thus I do not provide legal advice or represent clients in legal matters.  I do provide ethical and clinical consultations within the scope of my education, training, and experience.

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