Howard Behavioral Health: What to Expect

First Visit

We know that seeking out mental health services can be a daunting experience for our clients. It is our mission to strengthen our communities and to improve the health and well-being of those we are privileged to serve.

All new clients will need to complete a registration packet prior to their first appointment. You can find the packet below.

How to Prepare

  • Complete the clinical and registration packets (see below for specific links).
  • Arrive 30 minutes prior to your assessment.
  • Bring your photo ID and insurance card.
  • Review financial details with client services.

Registration Packet

The documents below should be filled out 72-hours before your first visit. Please complete the forms specific to the client’s age group and local clinic. If outside of Howard, Clinton, or Tipton counites, please complete the respective clinical and registration intake packets through the Kokomo clinic.

Kokomo Clinic

Adult Forms:

Youth Forms:

Frankfort Clinic

Adult Forms:

Youth Forms:

Tipton Clinic

Adult Forms:

Youth Forms:

Additional Intake Information

  • You can expect a call 24-48 hours prior to your intake appointment to go through your registration packet that you complete via the links above.
  • The following link is a PDF version of what you will be completing to keep for your reference: Registration Packet

    • If you have any questions about the clinical and medication history, please ask the therapist during your intake appointment.
    • If you have any questions about your registration, please ask the behavioral health representative that calls to complete/verify your registration information.

Rights and Responsibilities

As a client at Community Behavioral Health, your personal information will be held confidentially and released only through procedures as outlined in the privacy laws. In some instances, such as a court order, records can be released without a client's permission. In other instances, exclusions to confidentiality may include reports or evidence of abuse, neglect or exploitation of children or endangered adults, specific threats against people, threats of suicide and other exclusions as provided by law and reflected in Community Behavioral Health’s policy and procedures.

A client has the right to:
  • Be treated with respect and dignity and be provided with courteous, professional care, without discrimination due to race, religion, color, gender, national origin, sex, age, disability, sexual orientation, HIV status, or gender identity.
  • Receive services in a safe environment.
  • Receive culturally competent services
  • Give informed consent regarding treatment, medication and side effects
  • Understand and participate in the behavioral health treatment process
  • Receive confidential care and record-keeping
  • Request to change psychiatrist, service provider, clinician and/or get a second opinion
  • Receive a timely response to problems or concerns about treatment
  • Have access to medical records
A client has the responsibility:
  • To give your practitioner complete and honest information about your past and present health, mental health and/or addiction symptoms and to inform the practitioner of any lifestyle, health or mental health issues that could affect your health or the health treatment plan
  • To assist your health care provider in compiling a complete record by authorizing the Health Center to obtain necessary information from appropriate sources
  • To understand and follow the treatment plan prescribed by your healthcare provider and to discuss any difficulties or questions you might have adhering to the treatment plan or to following health care provider recommendations
  • To ask questions and seek clarification regarding areas of concern; and to weigh the consequences of refusing to comply with instructions and recommendations
  • To act in a respectful and considerate manner with Health Center personnel and patients
  • To arrive at your appointments on time or give timely notice of cancellation, so that other patients may utilize that time
  • To fulfill financial obligations for care and services at the time services are rendered
  • To perform all administrative functions with regards to filing his/her insurance claims

Fee Assistance

Community Behavioral Health is committed to ensuring that our services are affordable for clients in need of assistance. Patients will not be denied services based on: the individual’s inability to pay; whether payment for those services would be made under Medicare, Medicaid, or CHIP; the individual’s race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity. As a result, we offer fee assistance options to all patients. Please take a look at the following Fee Assistance policy or discuss your options with a client services team member directly.

For fee assistance questions, please contact 765-776-8395.

Fee Assistance Policy

Frequently Asked Questions

Below you will find answers to our most frequently asked questions. Please do not hesitate to contact client services for assistance.

I'm in crisis. What should I do?

If you are in crisis where you or someone else in danger, call 911. Call our 24-hour hotline at 800-273-8255.

What services do you offer?

Browse our available services. If you don’t see what you are looking for please contact us at 765-776-8555.

What information is required to make an appointment?

We will need the client’s date of birth, Social Security Number, address and insurance information.