Online Forms

Completing Documentation Online Using FormDr Some of the documentation completed during the assessment process requires a live signature from clients in order to meet AHCCCS requirements. Please, use the following resources if you are having any challenges. STEP-BY-STEP GUIDE HOW-TO VIDEO Place a call to IT help desk CONTACT SUPPORT 602.761.4950

Intake Documents

Intake Documents To be completed prior to assessment services Please review each document and sign to acknowledge receipt Complete los Documentos de Admisión en Español "*" indicates required fields Step 1 of 5 20% Client Name* First Last Date of Birth* Month Day Year Client Email* Enter Email Confirm Email Health CurrentYou are receiving this […]