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Gulf Coast Behavioral Health

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Gulf Coast Behavioral Health

Gulf Coast Behavioral HealthGulf Coast Behavioral HealthGulf Coast Behavioral Health

Signed in as:

filler@godaddy.com

  • Home
  • About Us
    • Our Story
    • Meet the Team
    • Our Policies
    • Your Health
  • New Clients
  • Patient Forms
  • Telehealth Appointments
  • Patient Portal

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Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current insurance information. 


If you have any questions when completing any of these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Credit Card Authorization Form (pdf)

Download

Group Home Information Update (pdf)

Download

Release of Information (pdf)

Download

New Patient Forms (18+) (pdf)

Download

New Patient Forms (5 years - 17 years) (pdf)

Download

E-Signature Forms

More e-signature forms coming soon
adult new patient formsCredit Card AuthorizationRelease of Information

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In observance of Independence Day, our office will be closed on Friday, July 4th, 2025.