New Clients

To request an appointment with the Center for Behavioral Health, call (531) 355-3358.

Below are the forms that you will need for your appointment at the Boys Town Center for Behavioral Health. The first two groups of forms are mandatory. If you have any questions, please contact 531-355-3358.

Thank you for choosing Boys Town!

New Client Forms to Complete and Bring With You (Mandatory)

Agreement and Consent for Services
Client Information Sheet
Email Information Form
Authorization for Release of Information to Primary Care Provider
Pretreatment Questionnaire
Download All

New Client Information and Notices

Client Rights and Responsibilities
Notice of Privacy Practices
Office Policy
Payment Policy
Download All

Additional Consent and Release Forms (When Needed)

Authorization for Release of Information to Other
Consent for Another Adult to Participate
Download All

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New Clients

To request an appointment with the Center for Behavioral Health, call (531) 355-3358.

New Client Forms to Complete and Bring With You (Mandatory)

New Client Information and Notices

Additional Consent and Release Forms (When Needed)

About Us

Patients

Policies

Search for news, content, and more.

New Clients

To request an appointment with the Center for Behavioral Health, call (531) 355-3358.

New Client Forms to Complete and Bring With You (Mandatory)

New Client Information and Notices

Additional Consent and Release Forms (When Needed)

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