Intake Forms
Access, complete and submit patient forms
Preparing for your visit
New Oakland makes it simple to prepare for your first visit. Download, complete, and email intake forms or bring them to your appointment. We also provide specific forms for telehealth, outpatient, and PHP programs, ensuring everything you need is ready for a smooth start to care.
Consents and
authorization
Your rights and
responsibilities
Preparing for
care
Personalized
guidance
At New Oakland, we are committed to making the intake process as convenient as possible. Whether you’re preparing for your first visit or coordinating additional care, we provide clear, accessible resources to meet your needs. Patients can download and complete intake forms for telehealth, outpatient services, and our Face to Face (PHP) program. Our step-by-step instructions simplify submission, whether by email or in person. We also offer forms for releasing confidential information and referring participants to trauma evaluation programs. For your convenience, forms are compatible with Adobe Acrobat Reader for mobile completion. By streamlining preparation, we ensure you can focus on starting your care journey with ease and confidence.
Telehealth consent form
For the forms to provide consent for telehealth services, please complete before your first appointment.
Outpatient forms
For the packet of forms for outpatient services, please complete before your visit.
FACE to FACE program forms
For the packet of forms for our FACE to FACE PHP or IOP services, please complete before your visit.
Release of Information form
If you are requesting that we share your health records with another provider, you will need to complete an Authorization to Release Confidential Information form and return it to New Oakland.
Trauma evaluation caseworker form
If you are a caseworker preparing background for a new Trauma Evaluation program participant, you will need to complete this Trauma Assessment Referral form.
Key Questions
Call 800-395-3223 to schedule an intake appointment. Our team will guide you through the initial steps and answer your questions.
Visit our website to download forms for telehealth, outpatient services, or PHP. Specific forms for trauma referrals and record releases are also available.
No problem! Forms are available to complete at your appointment. However, completing them in advance can save you time during your visit.
Yes, but only with the Adobe Acrobat Reader app. Forms opened with other PDF readers may not work properly on mobile devices.
Email completed forms to [email protected]. You’ll receive a confirmation when your materials are successfully submitted.
Download and complete the Authorization to Release Confidential Information form, then submit it to New Oakland for processing.
Our 24/7/365 call center is here to help. Call us anytime at 800-395-3223 for assistance with forms, appointments, or other concerns.