IBH FORMS

Continued Treatment
Coordination of Benefits
Discharge Summary
Initial Mental Health Treatment Plan
Medication Management Treatment Plan
Treatment Plan Memorandum
Authorization to Release Information
Mental Health Claim
EAP Authorization to Release Information
EAP WLM Authorization to Release Information Mandatory Evaluation
EAP IBH Case Summary
EAP IBH Case Summary and Claim
EAP WorkLifeMatters Case Summary
EAP WorkLifeMatters Case Summary and Claim