• Request an Appointment Contact Us

    info@delmarbehavioralhealth.com | 910-378-2501
    Fax: 910-939-1490

  • Del Mar Behavioral Health

    • Home
    • About Us
    • Services
      • Theraputic Services
      • Consultation, Training & Supervision
    • Getting Started
      • Rates & Insurance
      • Frequent Questions
      • Client Forms
      • Appointment Request
    • Resources
      • Applied Behavior Analysis
      • Autism Spectrum Disorders
    • Contact
    • Blog

    Client Forms

    Now that you’re ready to sign up for services with Del Mar Center for Behavioral Health, download and fill out these following forms. Bring them to your first session to allow as much time as possible to focus on you.

    Intake Packet

    HIPAA Information Sheet

    HIPAA Signature Page

    HomeExpectationsChecklist

    Del Mar Center for Behavioral Health

    Email Us!
    910-378-2501
    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
    A Website by Brighter Vision | Privacy Policy

    Copyright © 2025 - Brighter Vision