{"id":229,"date":"2021-05-24T17:47:09","date_gmt":"2021-05-24T17:47:09","guid":{"rendered":"https:\/\/devnamhs.com\/?page_id=229"},"modified":"2026-06-04T03:42:26","modified_gmt":"2026-06-04T03:42:26","slug":"namhs-therapy-forms","status":"publish","type":"page","link":"https:\/\/namhs.com\/namhs-therapy-forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row thb_full_width=&#8221;true&#8221; thb_shape_divider=&#8221;true&#8221; css=&#8221;.vc_custom_1768271325171{background-image: url(http:\/\/namhs.com\/wp-content\/uploads\/2026\/01\/forms-bg.jpg?id=19558) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; thb_divider_color=&#8221;#ffffff&#8221; thb_divider_height=&#8221;50&#8243; el_class=&#8221;mast-head home-main-call-desk forms&#8221; divider_shape=&#8221;waves_v2&#8243;][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1768271648941{padding-top: 25vh !important;padding-bottom: 25vh !important;}&#8221;][vc_column_text css=&#8221;&#8221;]\n<h1 style=\"font-size: 58px !important; line-height: 68px !important; font-weight: 600; color: #3a3838; font-family: 'Josefin Sans'; text-align: left;\">Forms<\/h1>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row thb_full_width=&#8221;true&#8221; thb_shape_divider=&#8221;true&#8221; css=&#8221;.vc_custom_1768271345491{background-image: url(http:\/\/namhs.com\/wp-content\/uploads\/2026\/01\/forms-bg.jpg?id=19558) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; thb_divider_color=&#8221;#ffffff&#8221; thb_divider_height=&#8221;40&#8243; el_class=&#8221;home-main-call-desk-3 forms&#8221; divider_shape=&#8221;waves_v2&#8243;][vc_column][vc_row_inner css=&#8221;.vc_custom_1760995243142{padding-top: 30px !important;}&#8221;][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1768271670639{padding-top: 25vh !important;padding-bottom: 25vh !important;}&#8221;][vc_column_text css=&#8221;&#8221;]\n<h1 style=\"font-size: 40px !important; line-height: 50px !important; font-weight: 600; color: #3a3838; font-family: 'Josefin Sans'; text-align: left;\">Forms<\/h1>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row thb_full_width=&#8221;true&#8221; thb_shape_divider=&#8221;true&#8221; css=&#8221;.vc_custom_1768271389886{background-image: url(http:\/\/namhs.com\/wp-content\/uploads\/2026\/01\/forms-bg.jpg?id=19558) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; thb_divider_color=&#8221;#ffffff&#8221; thb_divider_height=&#8221;30&#8243; el_class=&#8221;home-main-call-desk-2&#8243; divider_shape=&#8221;waves_v2&#8243;][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1768271808142{padding-top: 25vh !important;padding-bottom: 25vh !important;}&#8221;][vc_column_text css=&#8221;&#8221;]\n<h1 style=\"font-size: 35px !important; line-height: 45px !important; font-weight: 600; color: #3a3838; font-family: 'Josefin Sans'; text-align: left;\">Forms<\/h1>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row thb_full_width=&#8221;true&#8221; thb_shape_divider=&#8221;true&#8221; css=&#8221;.vc_custom_1768271513938{padding-top: 90px !important;padding-bottom: 60px !important;background-image: url(http:\/\/namhs.com\/wp-content\/uploads\/2026\/01\/forms-bg.jpg?id=19558) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; thb_divider_color=&#8221;#ffffff&#8221; thb_divider_height=&#8221;30&#8243; el_class=&#8221;home-main-call-mobile-1 forms&#8221; divider_shape=&#8221;waves_v2&#8243;][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1761166080517{padding-top: 150px !important;padding-bottom: 150px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1768271532328{padding-left: 40px !important;}&#8221;]\n<h1 style=\"font-size: 35px !important; line-height: 45px !important; font-weight: 600; color: #3a3838; font-family: 'Josefin Sans'; text-align: left;\">Forms<\/h1>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row thb_full_width=&#8221;true&#8221; thb_shape_divider=&#8221;true&#8221; css=&#8221;.vc_custom_1768271597413{padding-top: 40px !important;background-image: url(http:\/\/namhs.com\/wp-content\/uploads\/2026\/01\/forms-bg.jpg?id=19558) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; thb_divider_color=&#8221;#ffffff&#8221; thb_divider_height=&#8221;10&#8243; el_class=&#8221;home-main-call-mobile-2&#8243; divider_shape=&#8221;waves_v2&#8243;][vc_column][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1760939053883{padding-top: 30px !important;padding-bottom: 20px !important;}&#8221;][vc_column_text css=&#8221;&#8221;]\n<h1 style=\"font-size: 20px !important; line-height: 26px !important; font-weight: 600; color: #3a3838; font-family: 'Josefin Sans'; text-align: left;\">Forms<\/h1>\n[\/vc_column_text][vc_empty_space height=&#8221;5px&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1768337001816{padding-top: 50px !important;}&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]\n<p style=\"text-align: center; font-size: 16px;\">All forms may be completed online by clicking the links below.<br \/>\nIf needed, each form can be translated into Spanish using the language drop-down in the top-right corner.<\/p>\n[\/vc_column_text][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221; el_class=&#8221;forms-list&#8221;]\n<div class=\"form-item\"><a href=\"\/new-patient-packet\/\">New Patient Packet \u2013 Adult &amp; Minor<\/a><\/div>\n<div class=\"form-item\"><a href=\"https:\/\/namhs.com\/patient-rights\/\">Patient Rights &amp; Notice of Privacy<\/a><\/div>\n<div class=\"form-item\"><a href=\"\/release-of-information\/\">Release of Information (ROI)<\/a><\/div>\n<div class=\"form-item\"><a href=\"https:\/\/namhs.com\/revocation-of-release-of-information\/\">Revocation of Release of Information (ROI) Form<\/a><\/div>\n<div class=\"form-item\"><a href=\"https:\/\/namhs.com\/consent-to-treat-a-minor\/\">Consent to Treat &#8211; Adult &amp; Minor<\/a><\/div>\n<div class=\"form-item\"><a title=\"Informed Consent - Adult\" href=\"https:\/\/namhs.com\/informed-consent-for-telehealth-services\/\" rel=\"noopener\">Informed Consent for Telehealth Services &#8211; Adult &amp; Minor<\/a><\/div>\n<div class=\"form-item\"><a title=\"Medicare Questionnaire\" href=\"\/medicare-questionnaire\/\">Medicare Questionnaire<\/a><\/div>\n<div class=\"form-item\"><a title=\"Medicare Lifetime Signature Form\" href=\"\/medicare-lifetime-signature-form\/\">Medicare Lifetime Signature Form<\/a><\/div>\n<div class=\"form-item\"><a title=\"Caregiver Affidavit\" href=\"https:\/\/namhs.com\/caregiver-affidavit\/\">Caregiver Affidavit<\/a><\/div>\n<div class=\"form-item\"><a title=\"Child and Adolescent Addendum\" href=\"https:\/\/namhs.com\/child-and-adolescent-addendum-english\/\">Child and Adolescent Addendum<\/a><\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;16261&#8243; img_size=&#8221;full&#8221; 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height=&#8221;20px&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row thb_full_width=&#8221;true&#8221; thb_shape_divider=&#8221;true&#8221; css=&#8221;.vc_custom_1768271325171{background-image: url(http:\/\/namhs.com\/wp-content\/uploads\/2026\/01\/forms-bg.jpg?id=19558) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; thb_divider_color=&#8221;#ffffff&#8221; thb_divider_height=&#8221;50&#8243; el_class=&#8221;mast-head home-main-call-desk forms&#8221; divider_shape=&#8221;waves_v2&#8243;][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1768271648941{padding-top: 25vh !important;padding-bottom: 25vh !important;}&#8221;][vc_column_text css=&#8221;&#8221;] Forms [\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row 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Forms&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-229","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Therapy Appointments Forms | North American Mental Health<\/title>\n<meta name=\"description\" content=\"Forms for in-person and telehealth mental health appointments at NAMHS - North American Mental Health Services in Redding, California.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/namhs.com\/namhs-therapy-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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