Comprehensive Mental Health and Substance Abuse Treatment

To our new clients, please download, print, and complete the following forms and bring
them to your first session.

• Initial Intake Form
• Informed Consent Form
• New Client Questionnaire
• Authorization to Release/Receive Information
• Client Self-Assessment Form

For Harvard-Pilgrim/UBH clients, please complete the following forms when asked by your provider:

• Information for Patients about UBH Wellness Assessments
• Wellness Assessment Form, For Adults
• Wellness Assessment Form, For Youths

At any point during your treatment, if you'd like to give us feedback, please download and fill out the following survey.

• Client Satisfaction Questionnaire