Forms — Chattanooga Behavioral Alliance

All new patients please complete our “New Patient Packet” This convenient online form is for all providers at Chattanooga Behavioral Alliance.

Please note: The New Patient Packet submitted online is encrypted for your privacy

Printable PDf’s

Download, print, and fill out these forms if applicable

HIPAA Privacy Policies for reference only

Note * We require a referral from your in order to coordinate care with others to provide the best behavioral healthcare possible

( for new and returning clients)

insurance update form ONLY