louisvillebehavioral

If you’re experiencing an emotional crisis please CALL 911
or contact one of the crisis lifelines listed below
National Suicide Prevention Lifeline: DIAL 988
National Crisis Text Line: TEXT “HOME” to 741741

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Life365 Patient Forms

  • Living Free 365 form (Download)

  • Patient Consent for Treatment Form  (Download)

  • PTSD Check List (Download)

  • New Patient Form  (Download)

  • Patient Health Questionnaire (Download)

  • Medical Records Release (Download)

  • Designated Caregiver Form (Download)

  • Adult Patient Signature Page Living Free 365 Medical Cannabis (Download)

  • Signature Page Minor PatientLiving Free 365 Medical Cannabis (Download)

  • Visting Patient Signature Page-Living Free 365/Medical Cannabis (Download)