What to know before your visit

We’re proud of you for starting this journey. Beginning treatment can feel like a lot, but you’re not alone. When you get here, you’ll start by filling out some forms. This helps us get to know you so we can create the best care plan for you.

Sharing complete information helps us understand your history, prevent mistakes, and give you the safest care. Your records are stored electronically, so they’re easy to access when needed.

We’ll give you forms to fill out on your first day of outpatient treatment. To make things easier, we’ve included them here for you to review ahead of time. If you have any questions, call us anytime at 888.501.9865.

New patient forms by state

Here are the new patient forms for each state in our service area:

Kentucky new patient enrollment form

Ohio new patient enrollment form

New Patient Packet (Ohio)

Ohio Medicaid Application (Digital)

Authorized Representative Form

North Carolina new patient enrollment form

Maryland new patient enrollment form

Virginia new patient enrollment form

Other forms

Helpful Resources

Kentucky

Maryland

Virginia

Ohio

North Carolina

Educational Materials (North Carolina) PDF

Consents and agreements

Notices and policies

Records and guest dosing

BrightView policies and procedures

Your safety and comfort are our highest priorities. BrightView is committed to creating an affirming, respectful environment for every patient.

BrightView policies and procedures

Your safety and comfort are our highest priorities. BrightView is committed to creating an affirming, respectful environment for every patient.

Patient Forms & Resources

Locations Near You

Schedule an Appointment Online

What to know before your visit