Client Documents & Forms

Access important forms and documents needed for your care. If you’re unsure what to complete, our team is here to help.

Intake Packet

Complete this packet to provide the information needed to begin services with Blue Sky Counseling.

Group Informed Consent

Review and acknowledge the expectations, guidelines, and confidentiality practices for participating in group services.

MOUD Treatment Agreement

Review the expectations and responsibilities for receiving Medication for Opioid Use Disorder treatment.

Service Agreement

Review important information about Blue Sky Counseling’s services, policies, fees, and client responsibilities.

Telehealth Informed Consent

Review and acknowledge the guidelines, risks, and expectations for receiving services through telehealth.

Notice of Privacy Practices

Learn how your health information may be used, shared, and protected under privacy laws.

SUD TPO

Review how substance use disorder treatment information may be used or disclosed for treatment, payment, and operations.

Authorization to Release Information

Complete this form to give permission for Blue Sky Counseling to share or receive information with another provider, agency, or individual.

DEEP Release of Information

Complete this form to authorize the release of information related to DEEP evaluations, treatment, or program requirements.

If you are unsure which forms you need to complete, please call our office at (207) 616-0705 and we will guide you.

Not sure were to start? Give us a call at (207) 616-0705. We’re here to help.

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