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    • Home
    • About Us
    • Services
    • FAQ
    • Forms
    • Links & Resources
    • Contact Us
    • ARMHS
  • Home
  • About Us
  • Services
  • FAQ
  • Forms
  • Links & Resources
  • Contact Us
  • ARMHS

Forms

Listed are Chime Mental Health Service's Forms. If you want to fill any out prior to making an appointment Chime Mental Health Services only needs the 'Chime Consent Signature Pages Form' and 'Client Contact and Billing Information'. The remaining documents are for patient information. 

Chime Consent Signature Pages Form (pdf)Download
Client Contact and Billing Information Form (pdf)Download
Chime Patient Bill of Rights (pdf)Download
Chime Telehealth Informed Consent (pdf)Download
Chime Informed Consent (pdf)Download
CMH Good Faith Estimate Form (pdf)Download
ARMHS Referral Form (pdf)Download

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