Initial Forms

Please complete the following forms and return to MBHA via email, fax (412)795-7488, or mail to;

Monarch Behavioral Health Associates
2644 Leechburg Road Floor 2
Lower Burrell, PA 15068

PATIENT INFORMATION FORM

CONSENT TO TREATMENT

TELEMENTAL HEALTH INFORMED CONSENT

EMAIL TEXT AUTHORIZATION

BECK ANXIETY INVENTORY

BECK DEPRESSION INVENTORY

MBHA PCPROI

PRIVACY NOTICE

Have questions?  Ready to get started?

Call us: (412) 417-8160

Email us, or use the form here to contact us.