Online Forms

If you have scheduled an appointment for your child, please complete both the Initial Intake and the Child/Adolescent Intake. If you have scheduled an appointment for yourself, and are 18 years of age or older, please fill out the Initial Intake and the Adult Intake.

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Please click hear to view our Guarantor’s Agreement (including Notice of Privacy Practices, Recipient Rights and Responsibilities, and rates).

 

Important Information about CoVID-19:

BRAINS will remain open and operational, providing both on-site and teletherapy services to support our clients and families, as always. We are requesting that clients opt-in for virtual appointments by methods including video and phone. Please call our office at 616-365-8920 if you would like to opt-in for this service and help us to modify your appointments to reflect this change. You may also contact your clinician directly through your patient portal. The informed consent form below will help us to ensure that you understand the terms and conditions of telehealth services.

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