Patient Forms at Brain Health Center in Lexington, KY
Thank you for coming to Brain Health Center. Below you will find the forms necessary for your appointment. If you have any questions regarding the information or which form is right for you, please call our office and we will be able to assist you.
Information For Insurance Authorization
BHC Release Of Information To Other
Release Of Information To BHC
Authorization To Release To Anthem
TMS Screening Questions
If you have seen someone else for medication management in the past (or are coming from a hospital/program), we highly recommend providing a copy of your records before our first meeting. This will allow us to review past history and trials during our intake appointment.