Behavioral Health

Common Forms

Documents for behavioral health providers

Behavioral Health–Authorization Request Form (BH-ARF) Download PDF Icon This form is required to request authorization for applied behavioral analysis (ABA) and psychological testing

Psychological Testing Pre-Authorization Request Form Download PDF Icon You must submit this form to pre-authorize all psychological testing

Functional Behavior Assesment (FBA) / Treatment Plan Templates Download PDF Icon This template is required to create an FBA assessment and treatment plan

Complete this form to authorize electronic payments Download PDF Icon Complete this form to authorize electronic payments

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