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Consent and Release Forms

If filling out forms digitally, you will need Adobe Acrobat Reader to properly sign documents. Otherwise, we encourage clients to print off and fill out documentation before their appointment. Forms are also available at locations and can be filled out in lobby.

Please email CMMHC Authorization for Disclosure of Health Information forms to HIMDept@cmmhc.com.

All other forms can be emailed to care@cmmhc.com with the subject line being the name of the provider requesting the information.

 

 

How to fill out paperwork for your appointment

Text Reminder Disclaimer

Non Credentialed Provider Consent

Consent for Services

Email Acceptance Form

Billing Payer Release

Authorization for Electronic Communication – Texting

CMMHC Authorization for Disclosure of Health Information

 

 

 


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Locations

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Focus XII Residential
Elk River ACT
Waite Park Campus
Northway IRTS
Elk River Campus
Monticello Campus
Buffalo Campus
St. Cloud Campus

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