Patient Forms

Please click the link beside the desired forms below. Once you've submitted your form, a member of our intake department with review the information provided and contact you within 1-3 business days. If you have questions regarding the forms below or about the services we offer, feel free to reach out to a patient care representative at the Astra office nearest you.

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As a patient of Astra Behavioral Health, LLC, it is our policy that no one will be denied access to services due to inability to pay. A discounted/sliding fee discount program is made available to our patients and is based on family size and income. Astra Behavioral Health will base program eligibility on a person's ability to pay and will not discriminate on the basis of age, gender, race, sexual orientation, creed, religion, disability, gender identification, or national origin. NHSC (click here for details).