If your child is a new patient at Hurley Mental Health Associates:

• Please print out the forms listed below, fill them out and bring them to your child's first appointment.
• You and your child should be at the clinic 40 minutes before your child's appointment to complete paperwork.
• Patients who complete these forms ahead of time may arrive 15 minutes early.

Forms Required for New Therapy Patients
Patients 17 and younger

Forms Required for Bariatric Assessments
Bariatric patients

For All Patients
Authorization for Release of Information

Contact Us:

Hurley Mental Health Associates
Hurley West Campus Building
1125 South Linden Road, Suite 210
Flint, MI 48532
(810) 262-2100
mentalhealthinfo@hurleymc.com

Clinic hours:
Mon-Thurs: 8am-9pm
Fri: 8am-5pm
Sat: 8am-4pm