888-261-2178 help@barringtonbhw.com

Barrington Behavioral Health and Wellness Intake Forms

Please download and fill in the appropriate forms and bring them to your first appointment.
Preparing for your first appointment is as easy as 1, 2, 3!

Adults

Are you a new client over the age of 21?

‘Press 1’ and download and fill out the forms on this page for ‘Adult Intake’.

Minors

Are you bringing a child or a minor?

Press ‘2’ and download and fill out the forms for ‘Children and Adolescents’.

Power of Attorney

Are you a caregiver or Power of Attorney?

Press ‘3’ and download and fill out the forms on this page for ‘Power of Attorney’.

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