Our Forms & Policies

• Contract for Payment of Services > (https://www.wmmhc.org/contract-payment) • Sliding Fee Program > (https://www.wmmhc.org/sliding-fee)

• Request To Access Records > (https://www.wmmhc.org/records-request) • Release of Information-SUD > (https://www.wmmhc.org/roi-sud) • Release of Information-Mental Health > (https://www.wmmhc.org/roi-mh) • Release of Information- Children Services > (https://www.wmmhc.org/release-of-information-children)

• CCBHC Consent Adult >(https://www.wmmhc.org/ccbhc) • Client Acknowledgement > (https://www.wmmhc.org/client-acknowledgment) • Consent for Remote Group Sessions > (https://www.wmmhc.org/consent-remote-group-sessions) • Consent for Treatment > (https://www.wmmhc.org/_files/ugd/7b8ae4_9a0e26c5b0be4deca42b96b3f44a1cfa.pdf) • People Who Support Me > (https://www.wmmhc.org/peoplewhosupportme) • Scheduled Medication Form > (https://www.wmmhc.org/scheduledmedicationform) • Telehealth Privacy and Security Tips for Clients > (https://7b8ae44c-58ce-467f-ac86-d84b6da2169e.usrfiles.com/ugd/7b8ae4_69e2684c270346d693dd288525fb36f4.docx) • Treatment Plan Signatures-Children Services > (https://www.wmmhc.org/treatment-plan-signature) • Treatment Plan Signatures-Adult > (https://www.wmmhc.org/adult-treatment-plan-signature)

• Client Rights > (https://www.wmmhc.org/_files/ugd/7b8ae4_ca10fb16bf754f6e8511323b369ea1f5.pdf) • Notice of Privacy Practice > (https://www.wmmhc.org/_files/ugd/7b8ae4_23286c398e4d46f7946a7ea45e29904d.docx?dn=Notice%20of%20Privacy%20Practices%20February%202023.docx) • General Aggressive Behavior Policy > (https://www.wmmhc.org/_files/ugd/7b8ae4_ba3f873404b14cb29bb91bf8b9a46676.pdf) • Grievance Procedure > (https://7b8ae44c-58ce-467f-ac86-d84b6da2169e.usrfiles.com/ugd/7b8ae4_61cc5832e92a4f739a761cec231b4fd2.docx) • HIPPA Statement > (https://www.wmmhc.org/_files/ugd/7b8ae4_7817b3434e794a8da78505d0f82779b1.pdf) • Smoking & Weapons > (https://www.wmmhc.org/_files/ugd/7b8ae4_9930213a280b4c3a9ae7b3bc5f50775b.pdf)