Behavioral Health Choices
A comprehensive mental health practice
(484) 685-0965
We accept most private insurance carriers, Medicare and self pay.
*We are not a Medicaid or CHIP provider*

*Individuals 18 and over have to make their own appointments*

  1. Managing Director
  2. Managing Director
  3. Managing Director
  4. Managing Director
  5. Managing Director


Please only leave the adult and child form, take away the depression form.
Then replace what is under the adult form with the following attachment:



Then replace what is under the child intake form with the following:

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Forms

Our privacy policy can be viewed by clicking on the following file (this does not need to be printed):
HIPPA Privacy Policy >

The following forms need to be completed and signed for your first visit. For your convenience you can print the forms in advance and bring them to your appointment.

BHC Intake Forms:

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Adult 18 + Intake Forms >

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Children/Teen Intake Forms >

For both intakes please complete this questionnaire:

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Depression Questionnaire >