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Planning for Evaluation
The staff at Creekside will assist individuals, families, professionals, and agencies in coordinating referrals for evaluation. Our professionals will review information about your current treatment needs and consider how best to help you. We will respond to your request for help but our review of this information does not establish a treatment relationship with any provider at Creekside. It is possible that your problems would be better addressed in a different setting.
We use these forms to gather information we need to being the evaluation process. There is a set for adults and another for children. In general, adults should provide this information if they are seeking treatment. Parents may request treatment for their children and teenagers. We may require permission from older adolescents in order to talk with their parents when considering a new referral.
You can use this Link to electronic versions of these forms.
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You may print out the forms and mail them, or send them to our secure FAX (850) 476-2558. You may need Adobe Reader to see the forms. There is an Authorization for Release of Information included in this packet so that you can begin the process of obtaining information from any previous or current mental health treatment providers.
| Information for Children and Adolescents |
| Information for Adult Patients |
