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Gulf Coast Behavioral Health

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

Gulf Coast Behavioral Health

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

Thank you for your interest in Gulfcoast Behavioral Health

Your request has been received. 


We do require that our intake forms be completed prior to your request 

for an appointment is approved. In order to expedite this process, you can complete the electronic forms below or you can download and email a completed packet to our office. 


Completed packets can be emailed to:

Intake@gulfcoastbh.com  ​  


When sending these documents, please also include a picture of your your government-issued photo ID as well as the front and back of your insurance card. 


Typed signatures will not be accepted. It must have a physical signature.


Please be advised that our talk therapists are not accepting new clients at this time. 

If you requested talk therapy, your information will be placed on our waiting list.

Intake Forms

Adult (18+ yrs)Child (5 yrs - 17 yrs)

Adult (18+ yrs) (pdf)

Download

Child (5 yrs - 17 yrs) (pdf)

Download

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