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Forms & Brochures

Please do not copy or duplicate these forms.

Intended for Haymount and our patient use only. 

Property of the Haymount Institute.

Referral Form

Registration Packet

Registration Packet Spanish

DSS Registration Packet

Privacy Practices Brochure

Client Rights Brochure

Release of Information

Release of Information Spanish

Authorization for Participation Minor

Authorization for Participation Adult

CAF Adolescent

CAF Adult

Appointment Appeal Form

Consumer Complaint Form

 

 

 

806 Hay Street • Fayetteville, NC 28305 • Phone: 910.860.7008 • Fax: 910.221.9006

131 W. Edinborough Ave • Raeford, NC 28376 • Phone: 910.848.1222 • Fax: 910.848.0222

3507 Hill Street • Hope Mills, 28348 • Phone: 910.339.0901 • Fax: 910.339.0904

996 Helen St. • Fayetteville, NC 28303 • Phone: 910-635-0115 • Fax: 910-824-7593

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