Patient Documentation
Here’s what to know and what to fill out before starting substance abuse treatment.
The forms, policies, and procedures on this page will be given to you while in outpatient treatment. We also provide them here for easy access and to give you the opportunity to fill the forms out before your initial visit.
If you have any questions or concerns about any of these materials or addiction recovery, please do not hesitate to call our patient access center.
Forms
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- Adult Consent for Assessment and Treatment
- Confidentiality Agreement
- Consent for Drug Screen
- Consent for Release of Confidential Information (Complete with digital signature)
- Justice System Consent for Release of Confidential Information (Complete with digital signature)
- Intake Form
- Notice of Privacy Practices
- Pregnancy – Patient Consent for Treatment
- Treatment Contract
- Consent for Release of Confidential Information (Print and fax)
- Criminal Justice Consent for Release of Confidential Information (Print and fax)
- Virtual New Patient Packet*
- Paquete Virtual de Nuevo Paciente*
*You may review this packet prior to starting at BrightView, however, you should not complete the packet and sign the paperwork until your first day at BrightView.
BrightView Treatment Facility Policies & Procedures
- Patient Code of Conduct
- Patient Financial Responsibility Policy
- Lighthouse Reporting for complaints or grievances
- 24/7 reporting line: 855-880-0009
Important Educational Medication Assisted Treatment Information
What to Expect from Us vs. Drug Rehab
This is what your addiction treatment program at BrightView will look like.
Start feeling better tomorrow
If you’re ready to regain control of your drug addiction and start a personalized medication-assisted treatment program that works, we’re only a phone call away.
