Electronic Signature Forms
The following forms may be completed electronically prior to your appointment.
*Please note that only applicable office staff will have access to any information provided using these forms.
Registration Packet - This form includes our base registration packet along with the telehealth agreement, which is important due to the majority of providers participating in telehealth appointments.
Release of Information - Your provider may have asked you to complete an "ROI". This form gives us permission to coordinate treatment, receive past treatment records, or discuss appointment status with places or individuals of your choosing.
M & M Behavioral Health Solutions
Call Us: 410-766-6624