Westside Mental Health
Westside Mental Health

Patient Forms

If you're a new client, please print and complete the appropriate following forms and bring them with you to your first session.

Adult New Patient Intake Form
Adult Welcome Packet.pdf
Adobe Acrobat document [335.8 KB]
Child/Adolescent New Patient Intake Form
Child Welcome Packet.pdf
Adobe Acrobat document [336.5 KB]
Notice Of Privacy Practices
Please download and save for your records. This document does not need to be brought on you first visit.
Notice of Privacy Practices.pdf
Adobe Acrobat document [308.0 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Where to Find Us:

Westside Mental Health

192 N Avon Avenue

Suite 300

Avon, IN 46123 

 

(p) 317.672.6400

 

(f) 317.672.6401

Office Hours

Monday - Thursday 9am to 5pm

(Friday, evenings and weekends by appointment only).

Patient Forms

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Westside Mental Health