Patient Forms
New Patient - Counseling
This form is required to start seeing a River Oaks Health clinician.
Current Patient Appointment Request
Current patients please use this form to schedule your next appointment.
Authorization for Disclosure of Health Information
This form is required for sending any medical information from River Oaks Health to another entity.
Marriage and/or Family Counseling ONLY
Authorization for Disclosure of Health Information
Referral to River Oaks Health
This form is for other healthcare providers to make referrals to River Oaks Health.
Update Patient Information and Insurance
This form is required for updating patient information.
Employee Assistance Program (EAP) - Patient Forms
The forms below are ONLY for EAP patients. Check with your Employer Human Resources Department to see if your company has our EAP services.
Employee Assistance Program (EAP) - New Patient Registration
This form is required for all new EAP Patients.
Employee Assistance Program (EAP) - Office Policies and Statement of Understanding
This form is required for all new EAP Patients.
Employee Assistance Program (EAP) - Mandatory Referral Information Form
This form is required for all new EAP Employer Mandatory Referral. Must be completed by the Employer and Employee.
EAP Employer Count Reporting
This form is used by employers to report active EAP covered employee counts.