Huron Valley Consultation Center
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Instructions for filling out and submitting forms

Welcome to Huron Valley Consultation Center,

We look forward to meeting with you during these extraordinary times. Since we have switched to virtual therapy and psychiatric sessions, all of our forms are now in electronic format. They can be located on our website: huronvalleyconsult.org. They can be downloaded, filled out on your computer, then saved, and sent to your therapist or medical staff via email as an attachment. Your therapist or psychiatric staff should have given you his/her email when you spoke.

The process used to fill out the electronic forms can be performed in a number of methods. Those with computer experience may find the procedure described here as a little too drawn-out.

Please read over all the intake documents closely and fill them out completely unless otherwise indicated. Sections of the forms highlighted in gray indicate places that require your electronic signature and date. The witness lines are to be signed by your therapist. To complete your electronic signature, simply type your name where indicated. Unfortunately, if any signatures are missing, your forms will be returned to you.

On the first page of the Intake Form (either Child or Adult), please make sure to fill out the detailed insurance information since we will not be able to make a copy of your insurance card until you are able to come into the office.

Special instructions:

  1. The Primary Care Physician letter to be completed by your therapist, psychiatric nurse, or psychiatrist, and sent to your PCP. If you do not want this letter sent, please type your name and date at the bottom of the page to decline. If you want the letter sent, please complete the Release of Information with your PCP’s information so it can be sent. Don’t forget to sign and date the ROI.
  2. Release of Information: please complete this form if you want us to be able to communicate with someone else.
  3. Health Insurance Claim form: you only need to sign and date the document twice in the middle of the page. Ignore everything else as it will be filled out by HVCC billing staff.
  4. On our website there is a section of read-only documents that you do not need to edit; they are for you to keep and read. These include our Notice of Privacy Practices and a link to the digital copy of the Michigan Mental Health Recipient Rights booklet. We encourage you to read these.

If you have any questions, please call our office staff at 734-662-6300.

Thank you for taking the time to complete all the forms; we realize there are many! We look forward to meeting with you virtually to ensure the safety of you and our staff.

Sincerely,
HVCC

Instructions for Filling out the Electronic Forms

For Windows Users

Downloading the form from the WebPage (http://www.huronvalleyconsult.org/referral_intake_process.php):

Using Microsoft Edge (the browser that is newer that Internet Explorer) as the browser, navigate to the webpage.

Left click on "Referral & Intake Process" located on the left side of the Home page.

Left click on the Form that you wish to file electronically (for example, Adult Intake-Therapy).

Save this form by pressing the Control Key + S (hold down the Crtl key and at the same time press the S key), give it a unique name. (Note the saved location. Most users choose their Documents Folder as the destination folder, while some save the form to the Desktop).

Close your browser. (The rest of the process does not need to use the HVCC webpage).

Navigate to the folder where you saved the printed PDF, using File Explorer. (To find File Explorer, go the Windows icon in the far left bottom corner and right click this icon.)

Right click on the Filename, in the pull down menu, left click on "Open With" (located part way down the menu - NOT "Open" at the top of the menu).

Left click on Microsoft Edge.

Complete the form by filling in the fields.

Once completed, save the form, by using Control KEY + S, and giving it a new unique name.

You can now use this new version of the saved PDF as an attachment to an email.

For Mac Users

Using Safari as the browser, navigate to the webpage.

Click on "Referral & Intake Process" located on the left side of the Home page.

Click on the Form that you wish to file electronically (for example, Adult Intake-Therapy).

Save this form by pressing the Command + S (hold down the Command key and at the same time press the S key), give it a unique name. (Note the saved location. Most users choose their Documents Folder as the destination folder, while some save the form to the Desktop).

Close your browser. (The rest of the process does not need to use the HVCC webpage).

Navigate to the folder where you saved the printed PDF, using Finder or by simply clicking File on the top menu bar. (To find Finder, go the Finder icon in your Dock, which is typically at the bottom or side of your screen.)

Right click on the Filename, in the menu and double click to open. You can also left click and select open to open.

Complete the form by filling in the fields.

Once completed, save the form, by using Command KEY + S, and giving it a new unique name.

You can now use this new version of the saved PDF as an attachment to an email.


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