Forms
When entering into treatment we will be asking you to complete several forms. During your initial consultation phone call, your information will be collected and you should be prompted to register through our secure portal. You have 24 hours to register once an email invitation is sent to you. If you have any questions related to the portal, please contact us at 785-537-6051 or manhattanmhs@att.net at your earliest convenience. All clients are advised to review the Manhattan Mental Health Services, LLC HIPAA Privacy Notice and print it out for their own records. Review all these forms carefully as they outline what to expect in your work with us. The forms are added below for reference.
For access to a secure portal, click here.
For access to a secure portal, click here.
Notice of Privacy Practices (HIPAA) |
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Couples Therapy
Informed Consent (each member of the couple will need to sign this document):
| mmhs_couples_informed_consent.pdf |
Group Therapy
Group Informed Consent (This is completed in addition to the individual paperwork) :
| Manhattan Mental Health Group Therapy Informed Consent |
Individual Therapy
Informed Consent:
| mmhs_informed_consent_adult.pdf |
