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Medical Forms

Form

(EN) BH Patient Reg.

(EN) BH Patient Reg.
Form

(EN) Primary Patient Reg.

(EN) Primary Patient Reg.
Form

(ES) BH Patient Reg.

(ES) BH Patient Reg.
Form

(ES) Primary Patient Reg.

(ES) Primary Patient Reg.

Behavioral Health

2255 Renaissance Drive | Suite A
Las Vegas, NV 89119

Mon thru Fri — 9am to 7pm, Sat 8am to 3pm

Primary Care

2215 Renaissance Drive | Suite C
Las Vegas, NV 89119

Mon thru Fri — 8am to 5pm