Bee Well Psychiatric Associates, LLC.
Bee Well Psychiatric Associates, LLC.
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  • CONTACT US
    • CONTACT US
    • BECOME A PATIENT
  • More
    • HOME
    • MEET THE TEAM
    • SERVICES
    • RESOURCES
      • PATIENT PORTAL
      • FORMS
      • CONSENT & PRIVACY POLICY
    • CONTACT US
      • CONTACT US
      • BECOME A PATIENT
  • HOME
  • MEET THE TEAM
  • SERVICES
  • RESOURCES
    • PATIENT PORTAL
    • FORMS
    • CONSENT & PRIVACY POLICY
  • CONTACT US
    • CONTACT US
    • BECOME A PATIENT

NEW PATIENT INQUIRIES

Bee Well Intake Form (NEW)


Hipaa Policy

Notice of Privacy Practices


*By opting in via the Intake Form, you may agree to receive SMS communications exclusively from Bee Well Psychiatric Associates, LLC. This includes appointment reminders, updates, and other important information sent via text message. Standard message and data rates may apply. You can opt-out of SMS communications at any time by replying STOP to any text message.*

New Patient Paperwork

Consent Form Packet (Updated July 2024)


FINANCIAL AND MISSED APPOINTMENT POLICY

 AUTHORIZE TO RELEASE OR OBTAIN PROJECTED HEALTH INFORMATION

 DISCLOSURES AND CONSENTS 

 TEACHER QUESTIONNAIRE 

CREDIT CARD AGREEMENT


OTHER FORMS

 MEDICAL RECORD RELEASE AUTHORIZATION 

 MEDICAL RECORDS REQUEST FEE 

 REFILL REQUEST FORM 

 HARDSHIP APPLICATION 

 SCHOOL MEDICATION FORM 

How to Fill and Upload These Files

Please access these forms via computer in order to fill them out. If you do not already have adobe acrobat reader, download it here. The top download is free and will allow access to a fillable form version of each form. 

Filling and Uploading

  1. Click link to form
  2. Fill out on pdffiller.com (the website each link connects to)
  3. Download form after completing 
  4. Send to BeeWell email (contact@beewellpsychiatry.com) upon request


  • Your Provider or our Admin will instruct you on which form(s) to complete and when they need to be completed.
  • See services page for accepted insurance.


If you have questions, please feel free to reach out to contact@beewellpsychiatry.com.

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