Behavioral Health Systems, Inc.
Give Us A Call: 800.245.1150

Menu

Skip to content
  • Home
  • About BHS
    • Mission & Philosophy
    • Executive Leadership
    • Management Team
    • Employment
    • Newsroom
  • Spotlight
  • Programs
    • Integrated MHSA Program
    • Safety First Drug Testing
    • BHS A.S.S.I.S.T. EAP
    • Behavioral Comp Management
    • Behavioral Rx Management
    • Ancillary Programs
  • Members
  • Providers
    • Join the BHS Network
    • BHS Provider Forms
    • Update Information
    • Submit Claims
    • Pre-Authorization
  • Contact Us

Providers

  • Join the BHS Network
  • BHS Provider Forms
  • Update Information
  • Submit Claims
  • Pre-Authorization

BHS Provider Forms

The BHS Provider Guide explains the BHS authorization process and will answer many questions you may have. Please click the links below for necessary provider forms.

    • Clinical Assessment Report and Treatment Plan: Medication Evaluation/Management
    • ECT Preauthorization Request
    • TMS Preauthorization Request
    • Progress Report
    • Additional Notes (optional)
    • Supervisory Referral Assessment Report
    • Esketamine Treatment Request
    • Clinical Assessment Report and Treatment Plan
    • Progress Report
    • Psychological Testing Preauthorization Request Form
    • Additional Notes (optional)
    • Supervisory Referral Assessment Report
    • EAP Treatment Summary / RTP
    • Patient Information / Release of Information Form
    • Clinical Assessment Report and Treatment Plan: Substance Abuse
    • Health Insurance Claim Form 1500

Navigation

Skip to content
  • Home
  • About BHS
  • Programs
  • Members
  • Providers
  • Contact Us
Terms & Conditions | Copyright © 2024 Behavioral Health Systems, Inc.

  • Home
  • About BHS
    ▼
    • Mission & Philosophy
    • Executive Leadership
    • Management Team
    • Employment
    • Newsroom
  • Spotlight
  • Programs
    ▼
    • Integrated MHSA Program
    • Safety First Drug Testing
    • BHS A.S.S.I.S.T. EAP
    • Behavioral Comp Management
    • Behavioral Rx Management
    • Ancillary Programs
  • Members
  • Providers
    ▲
    • Join the BHS Network
    • BHS Provider Forms
    • Update Information
    • Submit Claims
    • Pre-Authorization
  • Contact Us