Resources and Forms

Resources and Intake Forms

Are you looking for an appointment with Mindvibe? Save time and streamline your application process by downloading our forms today! At Mindvibe, we understand the importance of efficient communication and providing a seamless experience for our clients. By downloading our application forms, you can conveniently complete them at your own pace and gather all the necessary information to ensure a smooth appointment process.

We encourage you to use our Intake / Referral form, here.

Please download all the files above. Once you have filled out all the documents, please send all the information to the following email intake@mindvibe.com or reply directly to this email and attach all necessary documents.

  • ❑ CCBH (Central Coast Behavioral Health), INC Policy Forms (Download)
  • ❑ Patient  Intake Screener – English (Download)
  • ❑ Patient  Intake Screener – Spanish (Download)

Pediatric

  • ❑ Aces (Adverse Childhood Experience) Questionnaire – English (Download)
  • ❑ Aces (Adverse Childhood Experience) Questionnaire – Spanish (Download)

Adults

  • ❑ Aces (Adverse Childhood Experience) Questionnaire – English (Download)
  • ❑ Aces (Adverse Childhood Experience) Questionnaire – Spanish (Download)
  • ❑ Crisis Stabilization Release of Information Form (Download)

Additional Required Information

  • ❑ Insurance Card
  • ❑ Patient or patient guardian Identification Card/Driver License

Sincerely,

Central Coast Behavioral Health, Inc.

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What online therapy is about

Our downloadable forms are designed to capture essential details tailored to your specific appointment requirements. Whether you’re seeking a consultation, therapy session, or any other service offered by Mindvibe, our forms will guide you through the application process, ensuring that we have all the necessary information to meet your needs effectively. By filling out the forms in advance, you can come prepared for your appointment, enabling us to provide you with the best possible service and maximize the value of your time.

Don’t miss out on the opportunity to experience the transformative services offered by Mindvibe. Download our forms today and take the first step towards a positive change in your life. We are committed to your well-being, and by simplifying the application process, we aim to make your journey with us as effortless as possible. Start your Mindvibe experience now by downloading our forms. We look forward to assisting you on your path to personal growth and providing the support you need.

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