Forms New Patients Forms  New Patient For MD 88kb  New Patient For Counselor 88kb Please download and fill out the form and bring it with you to your appointment. Request Forms  Authorization to Release Information 24kb  Prescription Refill Request 12kb  Request for Letter 24kb Please download and fill out the form. You can bring it with you to your appointment or you can fax it to our office. Having trouble opening up the file? You'll need Adobe® Acrobat Reader® software (version 6.0 or higher) to view PDF file. Download Acrobat Reader © 2007 Behavioral Health Consultants