Forms and Policies

Advance Care Directive

• SEARHC Advance Directive Form

Visit the Health Records page to find and download the request forms.

When completed, the following forms contain confidential information. We ask that, at this time, you do not email these forms to SEARHC. Also, we recommend patients avoid using public computers when providing personal health information.

• Authorization for Treatment with Telehealth Consent
• Notice of Privacy Practices Acknowledgement
• New Patient Registration Form

• Behavioral Health Intake Packet
• Behavioral Health Client Handbook